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Get HI DHS 1124 Instructions 2005-2024

On from a third party. Specifics: 1. Full name of individual authorized to request the information. 2. If legal representative, describe legal authority. (i.e. lawyer, court order, legal guardian, or legal parent etc.) Attach a copy of legal authority to DHS 1124. 3. Individual, agency or organization that maintains the information. * Describe information requested, be as specific as possible. Use check boxes if appropriate. 4. Full name of Applicant/Recipient. 5. Social Security Numbe.

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