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MICHAEL LONG, Director DIVISION OF ENVIRONMENTAL SERVICES CAROLINE CALDERON BAILEY DIRECTOR OF HEALTH DOUGLAS STRAIN, Laboratory DEBORAH TRAVELS, ACTING DIRECTOR DIVISION OF FAMILY HEALTH THOMAS MAHONEY,
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The designated alternate form is a form that allows individuals or entities to provide specific information or make a request in an alternative format.
Individuals or entities who require accommodation or need to communicate information in a different way may be required to file a designated alternate form.
Designated alternate forms can usually be filled out online, by mail, or in person depending on the requirements of the organization or entity requesting the form to be filed.
The purpose of designated alternate forms is to ensure that individuals or entities have equal access to information and services, regardless of any limitations they may have.
The information required on a designated alternate form can vary depending on the specific request or accommodation needed, but typically includes contact information, the reason for the request, and any supporting documentation.
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