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NAME: Request for Discontinuation of Service Instructions (Policy Section 501.17) PURPOSE: To request discontinuation of services for a member of the Aged and Disabled Waiver program due to: No Services
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How to fill out name request for discontinuation

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How to fill out name request for discontinuation:

01
Fill in the required information: Start by providing your full name, contact details, and any relevant identification numbers (such as social security number or employee ID) requested on the name request form for discontinuation.
02
Specify the reason for discontinuation: Clearly state the reason why you are requesting the discontinuation of a particular name. This could be due to a change in legal status, closure of a business, or any other valid reason.
03
Attach supporting documents: Be sure to include any necessary supporting documents with your name request for discontinuation. This may include official government forms, legal contracts, or any other relevant paperwork that strengthens your case for discontinuation.
04
Review and double-check: Before submitting the name request form, carefully review all the information you have provided. Make sure there are no errors or missing details that could delay the process or lead to a rejection of your request.
05
Submit the form: Once you have completed all the necessary steps, submit the name request form for discontinuation to the appropriate authority. Follow any specific guidelines or procedures outlined by the entity handling the discontinuation process.

Who needs name request for discontinuation?

01
Businesses undergoing dissolution: If you are in the process of dissolving a company or closing down a business, you may need to submit a name request for discontinuation to officially terminate the use of your business name.
02
Individuals changing legal status: Individuals who are changing their legal status, such as getting married or divorced, may require a name request for discontinuation to update their personal information and remove their previous name.
03
Organizations undergoing restructuring: Non-profit organizations, educational institutions, or other types of organized groups that are undergoing significant restructuring may need to file a name request for discontinuation to reflect the changes in their name or legal status.
Overall, anyone who needs to discontinue the use of a specific name, whether it be for personal or business reasons, may require a name request for discontinuation. It is crucial to carefully adhere to the specific guidelines and procedures provided by the relevant authority to ensure a smooth and successful discontinuation process.
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The name request for discontinuation is a formal request to officially cease the activities of a company or business entity.
The authorized representatives or directors of the company are required to file the name request for discontinuation.
The name request for discontinuation can be filled out online through the relevant government agency's website or in person at their office.
The purpose of name request for discontinuation is to formally end the legal existence of a company, close its operations, and settle any remaining obligations.
The name request for discontinuation must include details such as the company name, registration number, reason for discontinuation, final date of operations, and any other relevant information.
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