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HORN Received By: Patient Registration Format Entered: PLEASE PRINT CLEARLYDate / / Patients Legal Name: AKA (also known as): PCP (Primary Care Provider): Date of Birth: / / SSN: Marital Status:SingleMarriedSeparatedDivorcedGender
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To fill out aka (also known as), follow these steps:
02
Start by writing your legal or given name in the first section.
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In the second section, write any other names you have been known by, such as a nickname or maiden name.
04
If you have additional names or aliases, continue writing them in the subsequent sections.
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Make sure to provide accurate and complete information.
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Double-check your entries for any mistakes or typos.
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Once you have filled out all the relevant sections, review the document for completeness.
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Sign and date the aka form to confirm the accuracy of the information provided.
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Submit the filled out aka form as required by the relevant authority or organization.

Who needs aka also known as?

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AKA (also known as) is required by individuals who have used or been known by different names at different times in their lives.
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Some situations where aka may be needed include:
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- Legal processes like applying for a marriage license or filing court documents.
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- Employment applications when listing previous names used.
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- Immigration or naturalization processes where accurate name history is important.
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- Financial transactions that require consistent identification.
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- Any situation where providing a complete name history is necessary or requested.
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AKA is also known as Also Known As.
Anyone who goes by a name that is different from their legal name is required to file an AKA form.
To fill out an AKA form, one must provide their legal name, the name they commonly use, and the reason for using a different name.
The purpose of an AKA form is to inform others of a person's commonly used name.
The information required on an AKA form includes the person's legal name, the name they commonly use, and the reason for using a different name.
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