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Telephone The Nearest Relative Not Living With Me Address City Driver's License/ID Number State Expiration Date Issued Zip State Issued Business Telephone Business Relationship Telephone State Zip Number of Years Social Security Number Section 3: Family Members Details Name Date of Birth Residence Address City Position/Occupation Employer Name Residential Telephone The Nearest Relative Not Living With Me Address City Driver's License/ID Number State Expiration Date Issued Zip State Issued Business Telephone Business Relationship Telephone State Zip Number of Years Social Security Number Family members include: Spouse; Parent(s); Grandparent(s) and Grandchild; Brothers-in-law and Sister-in-law; Niece-nephews; Cousins; Sons-in-law; Daughters-in-law; and grandchildren.