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NOTICE ON THE USE OF SOCIAL SECURITY NUMBERS (This is not an application) If members of your family or household want to receive Food Assistance, Medicaid, Special Assistance or Work First Family
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Read the instructions on the form carefully.
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Fill out your personal information such as your name, address, and contact details.
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Provide the necessary details about the subject of the notice.
04
Clearly state the purpose of the notice in a concise manner.
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Include any supporting documents or evidence if required.
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Who needs notice on form use?

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Any individual or organization who wishes to officially notify or inform others about a specific matter or issue can use a notice on form. This can include individuals filing legal notices, organizations issuing official notifications, landlords informing tenants about certain changes, employers notifying employees, public bodies announcing public events, etc.
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Notice on form use is a document submitted to report the usage of specific forms.
Individuals or organizations who use specific forms are required to file notice on form use.
Notice on form use can be filled out by providing the required information about the usage of specific forms.
The purpose of notice on form use is to report the usage of specific forms to the relevant authorities.
Information such as the type of form used, quantity, and purpose of usage must be reported on notice on form use.
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