How to prevent the overlap in PDF form?

I am filling an application for employment with the Veterans Health Administration using their required PDF form. Everything works fine until I reached the "Références" box that contains four lines to enter names and etc. In the 'Address' box section, the data entered in the areas of first and fourth automatically duplicated with the same information. I use a MacBook and save and view the PDF with Adobe Reader. Anyone know how to prevent this duplication?

Here is the link to the PDF and scroll to page 3: http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf

This is because the creator of the form named these same fields (probably copy and paste to the other create) and all the fields with the same name will be filled in with the same information (this is required).

Let them know that they need to change the names of field to be unique (for the time being they are all two '29 b Ref-Address1'). It was probably just an oversight.

Tags: Acrobat

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