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Be completed by the qualified professional who is recommending test accommodations on the bar examination for you due to breastfeeding. Please read, complete, and sign below before submitting this form to the qualified professional for completion of the remainder of this form. Applicant s full name: Date: Applicant s date of birth: SSN : I give permission to the qualified professional completing this form to release the information requested on the form, and I request the release of any.

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  5. Click on Date to put in the current date on the NC NCBLE Form J. It will likely be done automatically.

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