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This document serves as a certificate of compliance with Rule B-41 for oil and gas operations in Arkansas, requiring details about the operation type, compliance dates, and certification statements
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How to fill out FORM HS-1

01
Obtain FORM HS-1 from the official website or local office.
02
Provide your personal information in the designated section, including your name, address, and contact details.
03
Fill out the specific details regarding the purpose of the form as instructed.
04
If applicable, include any necessary supporting documentation as indicated.
05
Review the completed form for accuracy and completeness.
06
Sign and date the form at the bottom before submission.
07
Submit FORM HS-1 to the designated agency or department as per the instructions.

Who needs FORM HS-1?

01
Individuals or organizations that are applying for specific permits or licenses that require FORM HS-1.
02
Any party that needs to report certain activities regulated by authorities as outlined in the form.
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FORM HS-1 is a reporting form used to disclose specific information required by regulatory authorities, often related to health and safety or industry compliance.
Organizations or individuals involved in specific industries or activities that require compliance with health and safety regulations are required to file FORM HS-1.
To fill out FORM HS-1, individuals or organizations must complete each section of the form accurately, providing all required information, and submitting it to the appropriate regulatory body.
The purpose of FORM HS-1 is to ensure compliance with health and safety regulations by gathering necessary information from entities operating in regulated industries.
Information that must be reported on FORM HS-1 typically includes details about the entity filing, the nature of operations, health and safety practices, and compliance measures taken.
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