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Feb 15, 2007 ... form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland ...

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For use on or is a form that is used to report the use of a trademark on goods or services.

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Any trademark owner who is using their trademark on goods or services in interstate commerce is required to file for use on or.

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Information that must be reported on for use on or includes the trademark owner's name, address, and citizenship; a description of the goods or services; and the date of first use.

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