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FTC0TS6 (07/2009)Telehealth Questionnaire U.S. DEPARTMENT OF HOMELAND SECURITY Federal Law Enforcement Training Center AgeDOBClassAddress Telephone Number1. Check each item listed with a yes or no
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How to fill out check each item listed

01
Start by writing the date in the designated field on the top right corner of the check.
02
Write the name of the payee on the 'Pay to the Order Of' line. Make sure to spell the name correctly.
03
On the next line, write the amount of money you want to pay to the payee in both numerical and written forms. For example, '100.00' and 'One hundred dollars'.
04
Write a memo or description of the payment in the designated memo line if necessary.
05
Sign your name on the bottom right corner of the check.
06
Optionally, fill out the 'For' or 'Memo' line if you want to provide additional information.
07
Review the check to ensure all information is accurate and legible.
08
Tear the check along the perforated line if it is a checkbook style check.
09
Give the filled out check to the intended payee for processing.

Who needs check each item listed?

01
Individuals who wish to make a payment using a check.
02
Businesses or organizations that need to make payments to suppliers, employees, or other parties.
03
Any person or entity that prefers the security and convenience of making payments by check.
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Check each item listed is a process of thoroughly examining and marking each item on a given list.
Anyone who needs to report or confirm the status of the items listed is required to file check each item listed.
To fill out check each item listed, one must carefully review each item on the list and mark them accordingly to indicate their status.
The purpose of check each item listed is to ensure that all items on the list are reviewed and confirmed for accuracy.
On check each item listed, one must report the status or condition of each item as indicated on the list.
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