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William B. Orr Consulting PA; The Orr Memory Clinic Consent Patients Medicare Authorization (Patients with Medicare): I hereby request that payment of authorized Medicare benefits be made on my behalf
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CN21-64 is a financial disclosure form required by the Washington State Department for certain individuals.
Certain public officials and employees are required to file CN21-64 with the Washington State Department.
One must fill out CN21-64 form by providing accurate financial information and following the instructions provided by the Washington State Department.
The purpose of CN21-64 form is to promote transparency and ethics in government by requiring certain individuals to disclose their financial interests.
The form typically requires reporting of assets, income, investments, and other financial interests.
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