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STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH REQUEST FOR VERIFICATION OF LICENSURE/CERTIFICATION Please note that there is no fee for this service. All requests should be mailed or faxed to the
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Start by opening the verifrequestdoc - ct form.
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Fill in your personal information, such as your full name, address, and contact details.
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Provide any necessary identification information, such as your social security number or driver's license number.
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Clearly state the purpose or reason for requesting verification.
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Attach any supporting documents or evidence that may be required.
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Who needs verifrequestdoc - ct:

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Individuals who are seeking to verify their identity for a specific purpose, such as applying for a job or obtaining a loan.
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Verifrequestdoc - ct is a verification request document.
All individuals or entities who need to verify certain information are required to file verifrequestdoc - ct.
Verifrequestdoc - ct should be filled out by providing accurate and complete information as requested.
The purpose of verifrequestdoc - ct is to verify specific information for compliance or verification purposes.
Verifrequestdoc - ct requires reporting of relevant and specific information as requested.
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