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License Clerk - CT 304.724.4809 2013 License Application Fax ...

License Clerk - CT 304.724.4809 2013 License Application Fax ...-2025

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The document is a license application form for individuals seeking various licenses related to horse racing in West Virginia. It requires personal information, background checks, and answers to specific questions regarding past licenses and criminal history. The applicant must certify the truthfulness of their statements and authorize investigations into their background.

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Click ‘Get Form’ to open the License Clerk - CT 304.724.4809 application in our editor.
Begin by filling out Section 1, which includes your Social Security Number or Tax ID, Name, Date of Birth, Address, City, State, Zip Code, and Phone Number.
In Section 2, mark the license(s) you are requesting today and provide details about your latest fingerprinting dates and states.
Carefully read the certification statement and ensure you understand the implications before signing at the bottom of the form.
Answer all questions a-h with 'yes' or 'no', providing additional details on the back if necessary.
Complete any identification information required such as sex, age, hair color, eye color, height, and weight.
Once completed, submit your application by following the instructions provided for mailing or faxing it to the appropriate office.

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