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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Applicant Information' section. Enter your last name, first name, middle name, address, apartment/unit number, date of birth, city/state, zip code, telephone number with area code, and email address.
Next, complete the 'Certifier Information' section. This includes similar fields: last name, first name, middle name, address, apartment/unit number, date of birth, city/state, zip code, telephone number with area code, and email address.
Provide the certifier's DC Driver License or Identification Card Number along with its expiration date.
Ensure that the certifier signs the form to attest that you reside with them in Washington DC. They must also provide two proof of residency documents from the specified list.
Finally, both you and the certifier should sign and date the form before submission.
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We've got more versions of the of proof residency form form. Select the right of proof residency form version from the list and start editing it straight away!
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Part 80: Rules and Regulations on Controlled Substances in
Registrations issued under this section shall be renewed by the department upon receipt of a completed renewal application which includes proof of attendance.Read more
The certifier must sign this form attesting that he/she is the owner or lessee at the address listed above and the applicant resides with them in theRead more
The person whose name appears on the lease/contract must also submit proof (i.e., lease, telephone, utility, or similar type bills) of residency at his/herRead more
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