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IHS-917 (4/09) FRONT DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service FORM APPROVED: OMB NO. 0917-0030 Expiration Date: 4/30/2016 See OMB Statement on Reverse. REQUEST FOR CORRECTION/AMENDMENT

How to fill out request for correctionamendment of

How to Fill Out a Request for Correction/Amendment and Who Needs It?

Request for correction/amendment is typically a form that individuals or organizations use to request changes or updates to certain records or documents. Here are the points to consider when filling out such a request and who might be in need of it:

1. Start by identifying the purpose: Clearly state the reason for the correction/amendment request. This could be to rectify an error, update outdated information, or add new information that was previously missing.
2. Provide accurate and detailed information: Fill out all necessary personal or organizational details required on the form. This might include your name, address, contact information, and any identification numbers associated with the document in question.
3. Specify the document or record to be corrected/amended: Clearly indicate the document or record that you are requesting a correction or amendment for. This might involve mentioning the specific file number, document title, or any other identifying details that will assist in locating the record.
4. Explain the requested changes: In a clear and concise manner, describe the specific changes or amendments you are seeking. Use a separate section or box on the form to outline these modifications. Be specific and provide supporting documentation, if necessary, to justify your request.
5. Sign and date the form: Ensure that you have signed and dated the request form. This indicates your consent and agreement with the submission. In some cases, a witness or authorized individual may need to witness or certify your signature.
6. Keep copies for your records: Make copies of the filled-out request form and any accompanying documents for your own records. This will serve as proof of your submission and the changes requested.

Who needs a request for correction/amendment?

1. Individuals: Individuals may need to submit a request for correction/amendment form for various reasons. These could include correcting errors in personal identification records, updating changes in address or contact information, rectifying mistakes in official documents, or adding/revising information that was initially omitted.
2. Organizations: Organizations, such as businesses, government agencies, or educational institutions, may also require a request for correction/amendment form. This might involve updating legal documents, rectifying errors in financial or administrative records, revising employee information, or making changes to official organizational paperwork.
3. Legal professionals: Lawyers, attorneys, or legal representatives may use request forms for correction/amendment when dealing with legal documents or court records. This is done to ensure accuracy, validity, and to reflect the correct information within legal proceedings.

By following the points above, individuals or organizations can effectively fill out a request for correction/amendment form and ensure that any necessary changes are made accurately and promptly.

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What is request for correction/amendment of?

Request for correction/amendment of is a formal request to make changes or corrections to a document or record.

Who is required to file request for correction/amendment of?

The individual or entity responsible for the document or record is required to file the request for correction/amendment of.

How to fill out request for correction/amendment of?

The request for correction/amendment of must be filled out completely and accurately, providing any necessary supporting documentation.

What is the purpose of request for correction/amendment of?

The purpose of a request for correction/amendment of is to ensure that the document or record is accurate and up to date.

What information must be reported on request for correction/amendment of?

The request for correction/amendment of must include details of the changes or corrections needed, as well as any relevant reference numbers or dates.

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