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Get the free 64-4 Request to Alter, Expand or Consolidate Form - Florida ...

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DRAFT STATE OF FLORIDA DEPARTMENT OF HEALTH Authority: 381.986, Florida Statutes Request to Alter, Expand or Consolidate Low-THC Cannabis Dispensing Organization Dispensing Region: Northwest Northeast
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How to fill out 64-4 request to alter:

01
Fill in your personal information: Start by providing your full name, contact information, and any relevant identification numbers.
02
Indicate the nature of the alteration: Specify what changes or alterations you would like to make. This could include modifying personal details, updating contact information, or making corrections to existing information.
03
Provide supporting documentation: Attach any necessary documents to support your requested alterations. These could include identification documents, proof of address, or any other relevant paperwork.
04
Include a brief explanation: Write a concise explanation of why you need to alter the information. Be clear and specific about your reasons for seeking the changes.
05
Sign and date the form: Once you have completed all the necessary sections, sign and date the form to certify the information provided.

Who needs 64-4 request to alter?

01
Individuals with outdated or incorrect personal information: If your personal information has changed or needs to be corrected, you may need to submit a 64-4 request to alter.
02
People who have experienced a life event that affects their information: Major life events like marriage, divorce, or a change of address may require alterations in your records.
03
Those seeking to update their contact information: If you have changed your phone number, email address, or any other contact details, submitting a 64-4 request to alter can help ensure that your information is up to date.
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