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Authorize on Form for
Nondescript on OvertheCounter Skin Products
Licensed Child Day Centers
DSS Division of Licensing Programs Model Form
INSTRUCTIONS:
This form must be completed by the parent/guardian
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How to fill out authorization form for non-prescription
How to fill out authorization form for non-prescription
01
Obtain the authorization form for non-prescription from the relevant authority or organization.
02
Fill in your personal details such as name, address, contact information, and any other required information.
03
Provide the details of the non-prescription item that you are seeking authorization for, including the name, quantity, and purpose of use.
04
Sign and date the form to certify that all the information provided is accurate and complete.
05
Submit the completed authorization form to the appropriate department or personnel for review and approval.
Who needs authorization form for non-prescription?
01
Individuals who wish to purchase non-prescription items that require authorization before use.
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