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Did someone misuse your Social Security number to file for a tax refund or get a job? Did a stranger claim your child as a dependent? Has a caller claiming to be from the IRS demanded you wire money right away? Learn about tax-related identity theft and IRS imposter scams -- and what you can do about them.
What is tax-related identity theft?
► This form is available to print in PDF or Word format at the bottom of this page.
REPORT OF EXAMINATION AND EVALUATION
By a □ physician □ psychologist □ social worker □ other: _____________________________ (In compliance with K.S.A. 59-3064)
Attach additional sheets as necessary.
(1) Date/Location of examination:_______________ , at ______________
(2) Name of proposed ward/conservatee:__________________________
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