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Click ‘Get Form’ to open the CNR Recertification Application in the editor.
Begin with SECTION 1 - PERSONAL INFORMATION. Fill in your last name, first name, date of birth, and indicate if you have recently moved.
Proceed to SECTION 2 - HOME ADDRESS. Enter your current street address, city, state, zip code, and contact numbers.
In SECTION 3 - MAILING ADDRESS, provide an alternate mailing address if applicable. Include 'In Care of Name' if necessary.
SECTION 4 allows you to designate a secondary contact or authorized representative. Fill in their details and indicate if they will sign on your behalf.
For SECTION 5 - LANGUAGE, specify if you need an interpreter and the language you speak.
In SECTION 6 - HOUSEHOLD INCOME INFORMATION, list all sources of income for every adult in your household.
SECTION 7 addresses disability information. Indicate if you have a disability and whether you require wheelchair accessible taxis.
If desired, upload a recent photograph for your swipe card in SECTION 8.
Finally, complete SECTION 9 by signing and dating the form to certify that all information is accurate.

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