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Get Alabama Department Of Public Health Declaration Of U.s ... - Adph
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How to fill out the Alabama Department of Public Health Declaration of U.S. Citizenship or Lawful Presence online
Filling out the Alabama Department of Public Health Declaration of U.S. Citizenship or Lawful Presence is a crucial step for individuals applying for health care benefits or licenses. This guide provides clear instructions for each section of the form, ensuring that users can complete it accurately and confidently online.
Follow the steps to seamlessly fill out the form.
- Press the 'Get Form' button to access the form and open it for editing.
- Begin by filling out Section 1, which requires your name, date of birth, and to indicate whether you are applying for a license/permit or health service.
- In Section II, check the appropriate box to indicate whether you are a citizen or national of the United States. If yes, proceed with Section IV after selecting the correct sub-option based on your application.
- If you answered 'No' in Section II, complete Section III by indicating your lawful status as an alien. If you affirm this, provide the requested documentation for verification and move to Section IV.
- In Section IV, sign the declaration, confirming that all answers provided are accurate and true to the best of your knowledge. Ensure that a legal representative signs if applicable, including their relationship to the applicant.
- After completing all sections, review the form carefully for accuracy. You can then save your changes, download, print, or share the completed form as needed.
Start completing your documents online today!
Write a letter of complaint addressed to: ATTN: Complaint Unit, Alabama Department of Public Health, Bureau of Health Provider Standards, 201 Monroe Street, Suite 700, Montgomery, AL 36130-3017.
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