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HS0059 Rev. 10/18REQUEST TO PROVIDE MEDICATION DURING SCHOOL HOURS: ACETAMINOPHEN AND IBUPROFEN Health Services Department Lincoln Public Schools Lincoln, NebraskaIMPORTANT INFORMATION FOR PARENTS/GUARDIANS:
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To fill out the HS0059 request form, follow these steps: 1. Download the HS0059 request form from the official website.
02
Fill in your personal details, such as name, address, and contact information.
03
Indicate the reason for your request and provide any supporting documentation if required.
04
Make sure to sign and date the form before submitting it.
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Double-check all the information you have provided to ensure accuracy.
06
Submit the completed HS0059 request form to the appropriate authority or department as specified in the form's instructions.
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Wait for a response from the authority regarding your request.
08
If approved, follow any additional instructions or requirements provided.
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Keep a copy of the submitted form and any associated documentation for your records.

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Anyone who needs to request or provide specific information may require the HS0059 request form. This form can be used by individuals, organizations, or businesses depending on the nature of the information being requested or provided. The specific requirements and criteria for using the HS0059 form may vary depending on the jurisdiction or authority involved.
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hs0059 request to provide is a form used to request specific information from a party.
Any party seeking specific information can file hs0059 request to provide.
To fill out hs0059 request to provide, simply provide details of the requested information and submit the form to the relevant party.
The purpose of hs0059 request to provide is to obtain specific information from a party for a particular purpose or investigation.
The information to be reported on hs0059 request to provide will depend on the specific request made by the party filing the form.
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