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Kellie Dawson, LISTS Authorization for Release/Exchange of Confidential Information Client Name DOB I hereby authorize Delaware Counseling Services, LLC and Kellie Dawson, LISTS to release to and/or
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kelliedawsonlisw-s is a form used for reporting income earned as a licensed independent social worker.
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kelliedawsonlisw-s can be filled out by providing details of income earned as a licensed independent social worker.
The purpose of kelliedawsonlisw-s is to report income and ensure compliance with tax laws.
Information such as total income earned as a licensed independent social worker must be reported on kelliedawsonlisw-s.
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