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Get Form 10 336 2007-2024

Ual, complete Part 1. If an organization providing transportation for persons with a disability with conditions in A thought L below, complete Part 2. Notice to Applicant: The department is required to enter into the permanent record disability types in a manner that will allow retrieval of such information for statistical use. The photo ID number or driver’s license number of the person with a disability is necessary to identify and retrieve these statistics. PART 1: TO BE COMPLETED BY A LICE.

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