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06.805 Generic H&D App NE Final 5/15/06 1:00 PM Page 1 2. Have you, your Applicant or any listed dependent(s) ever been treated for, hospitalized or had any Physical Impairment, Congenital Abnormality,

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What is part a general information?

Part A general information includes basic details about the individual or organization filing the form.

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Any individual or organization who is completing the specific form that requires Part A general information is required to file it.

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The purpose of Part A general information is to identify the filer and provide necessary background information.

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Information such as name, address, contact details, and other pertinent information may be required on Part A general information.

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