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Form 2 Revised online Nebraska: What You Should Know
I certify that I am the Applicant, and that the application is from a qualified applicant. (Name, date, social worker application number) 2. This form was provided to me by a local government entity. 3. In item 3 of section A, enter my TIN. 4. In item 3 of section B, enter my taxpayer identification number (TIN) for each Applicant on file for the current tax year. 5. Enter each of your name, TIN, home address, mobile telephone number, and e-mail address on each page of this report on this form. 6. Complete each item using the checkboxes located within each section below it. The correct information must be entered under each item you provide. 7. If either of my driver's license(s) does not match the information given on this form, I certify that: I have not been issued a driver license that does not match the information I am providing on Schedule B; I am the Applicant and have not been disqualified from obtaining one of these licenses; or I am the Applicant and have been disqualified from obtaining one of these licenses for at least three years. If the Applicant does not have a social worker report on file and is completing this form for the first time on behalf of a qualified child or spouse, he or she must provide a copy of a completed social workers report if required by Missouri law or required by any other source because of the relationship between the Applicant and the child or spouse requesting the report. Information about social workers reports can be found here. (Name, date, social worker report number) 8. This form was provided to me by a local government entity. 9. In item 4, list the name on which this report was issued, the social worker's name (if applicable) and the address and telephone number at which the report was issued. (If the report was issued by a social worker, the name of the social worker and the social worker's title, and/or state, and zip code, must be on the report.) (Name, date, social worker report number) 10. I have not been issued a driver license that does not match the information on the report; or I have been recently disqualified from obtaining one of these licenses; or I am a qualified applicant and the report was issued by a social worker.
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