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Office of the State Longer Care Ombudsman Conflict of Interest Screen *Please Print Clearly* Last name First name Region Please check all that apply: Initial screen Annual screen with no change (approval
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What is coiscreenformdoc - proseniors?
coiscreenformdoc - proseniors is a form used by senior citizens to report their income sources.
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Senior citizens who have multiple sources of income are required to file coiscreenformdoc - proseniors.
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To fill out coiscreenformdoc - proseniors, seniors need to provide information about their various income sources and amounts.
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Seniors must report all their income sources such as pensions, social security, investments, and any other sources of income on coiscreenformdoc - proseniors.
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