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Leech Lake Band of Ojibwe TERO tribal employment rights office Intake Application Name please print Date This application will be maintained in the TERO office for a period of 1 year. I HAVE READ AND UNDERSTAND THE TERO PROCESS Client Signature TERO Representative 115 Sixth Street NW Suite E Cass Lake MN 56633 Office 218-335-8374 Fax 218-335-3733 Toll Free 1-866-222-8737 Personnel Information please print clearly Name Soc. Sec. App. Date First Mi.

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