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The Department of Education (ED) is current undertaking a comprehensive review of the Public Service Loan Forgiveness (PSLF) program that aims to address permanently the numerous problems that have prevented public service workers from accessing the forgiveness they have earned.
► 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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