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FOR OFFICE USE ONLY Date of Referral Early Intervention Program Referral Form Re-open Employees of the Administration for Children s Services (ACS) or agencies contracted with ACS must Call the Citywide
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Child's name last, first refers to the last name followed by the first name of the child.
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Parents or legal guardians are typically required to provide the child's name last, first.
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The purpose of providing the child's name last, first is to correctly identify the child and establish their identity.
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The child's full legal name must be reported on the child's name last, first.
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