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APPENDIX C, EXHIBIT 4 UNIVERSAL INTAKE FORM Funding Identifier: Title III B 1 C1 C2 Title III D Applicant Name (Last, First, Middle Initial) City Rural Designation: Urban Linkages (Optional) Participant
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Appendix C Exhibit 4 is a form that provides detailed information about a specific aspect of a report or document.
Entities or individuals specified in the regulations or guidelines requiring the submission of the form are required to file Appendix C Exhibit 4.
To fill out Appendix C Exhibit 4, you need to carefully review the instructions provided with the form and provide accurate information in the specified fields.
The purpose of Appendix C Exhibit 4 is to provide additional details or data that complements the main report or document.
Information related to the specific aspect or topic addressed by the form, as outlined in the instructions, must be reported on Appendix C Exhibit 4.
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