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Get the free Form-CRD001-Application to Request Administrative Hearing for Cardholders (Rev. 1-25)

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OMCCRD001 Rev. 125 Page 1 of 2 Commonwealth of Kentucky Cabinet for Health and Family Services Office of Medical Cannabis https://kymedcan.ky.gov KRS Chapter 218B; 915 KAR Chapter 2Card/Application
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Persons who need to formally request a service or decision that requires administrative approval.
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Form CRD001 is an application used to request administrative services or interventions from a governing body or institution.
Individuals or organizations seeking administrative assistance, approvals, or permissions related to specific regulatory processes are required to file the form.
To fill out the form, provide accurate information as requested, including personal details, the reason for the request, and any supporting documents as specified in the instructions.
The purpose of Form CRD001 is to formally document requests for administrative actions, ensuring that all necessary information is provided for efficient processing.
The form requires reporting of personal identification details, contact information, specifics of the request, and any relevant documentation or evidence to support the application.
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