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90DAYEXAMINATIONWINDOWEXTENSIONREQUESTFORSTATELICENSINGCANDIDATES
FAX TO:651.681.3294ATTN:STATECANDIDATECOORDINATOR
PleasePRINTyourinformationbelow:
StateCandidateID#:Date:Name:
Address:NOTE:IfyournameoraddressdoesnotmatchwhatappearsonyourCandidateStatusReport,
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01
To fill out noteifyournameoraddressdoesnotmatchwhatappearsonyourcandidatestatusreportyoumust, follow these steps:
02
Open the candidate status report form
03
Locate the section where the name or address is mentioned
04
If your name does not match what appears on the report, write down the correct name in the designated field
05
If your address does not match what appears on the report, write down the correct address in the designated field
06
Double-check the filled information for accuracy
07
Submit the completed form
Who needs noteifyournameoraddressdoesnotmatchwhatappearsonyourcandidatestatusreportyoumust?
01
Candidates whose name or address does not match what appears on their candidate status report
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What is noteifyournameoraddressdoesnotmatchwhatappearsonyourcandidatestatusreportyoumust?
It is a requirement to inform the appropriate authorities if the name or address on your candidate status report does not match your actual name or address.
Who is required to file noteifyournameoraddressdoesnotmatchwhatappearsonyourcandidatestatusreportyoumust?
Any candidate whose name or address does not match what is listed on their candidate status report is required to file this notification.
How to fill out noteifyournameoraddressdoesnotmatchwhatappearsonyourcandidatestatusreportyoumust?
To fill out the notification, provide your correct name and address along with the details that appear on your candidate status report, and submit it to the designated office.
What is the purpose of noteifyournameoraddressdoesnotmatchwhatappearsonyourcandidatestatusreportyoumust?
The purpose is to ensure that all candidate information is accurate and up-to-date for election integrity and voter verification.
What information must be reported on noteifyournameoraddressdoesnotmatchwhatappearsonyourcandidatestatusreportyoumust?
You must report your correct name, correct address, the name and address listed on your candidate status report, and any additional identifying information required.
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