
Get the free Services ACTIVE CONSENT FORM This survey is endorsed - bosr unl
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TO: PARENT/GUARDIAN
FROM: Nebraska Department of Education and Nebraska Department of Health and Human
Services
SUBJECT: ACTIVE CONSENT FORM for the Youth Tobacco Survey (ITS)
Your son/daughters school
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The services active consent form must include personal details of the individual or organization, details of the services being requested, and the signature of the individual or organization.
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