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Description of form petitioner
If a fellow member provides a letter/form he/she must identify the frequency and extent of contact with the petitioner outside of the group meetings. Signature Address/City/State/ZIP FORMAL HEARING FILING FEE CREDIT/DEBIT CARD PAYMENT FORM All Out-of-State Petitioner Formal Hearing Applications must be accompanied by a 50 filing fee. If additional space is needed please use the back of this form. Petitioner s Name...
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