Председателю комиссии

По оценке нуждаемости

Л.В. Володченко

От __________________________

проживающего по адресу




Прошу предоставить мне социальный уход на дому. Согласен (на) на проведение обследования и передачу информации личного характера в комиссию по оценке нуждаемости

«____»___________ 20_____г.

31 комментарий на «“Заявление о согласии проведения оценки нуждаемости”»

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