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Form RSS-105A The University of Michigan Occupational Safety & Environmental Health Radiation Safety Service 1239 Kike Drive, 1010 Phones: 764-4294 / Fax: 764-6523 Declaration of Pregnancy Name: UM

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What is declaration of pregnancy form?

The declaration of pregnancy form is a document that is used to report the pregnancy of an individual.

Who is required to file declaration of pregnancy form?

Pregnant individuals are required to file the declaration of pregnancy form.

How to fill out declaration of pregnancy form?

To fill out the declaration of pregnancy form, you need to provide your personal details, such as name, address, and contact information, as well as information about your pregnancy, such as estimated due date and any complications.

What is the purpose of declaration of pregnancy form?

The purpose of the declaration of pregnancy form is to keep track of pregnancies and ensure that pregnant individuals receive the necessary support and healthcare services.

What information must be reported on declaration of pregnancy form?

The declaration of pregnancy form requires the reporting of personal information, such as name and contact details, as well as pregnancy-related information, such as estimated due date and any complications.

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