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5330 F1b Page 1 of 1 AUTHORIZATION FOR PRESCRIBED MEDICATION OR TREATMENT (Grades K5 ELEMENTARY VERSION) To the Parent: The following information is necessary for any student to use nonprescribed
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Individuals who require non-prescribed medical supplies or equipment for their health or well-being.
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This refers to a form used for reporting certain excise taxes.
Any entity or individual who is liable for the excise taxes specified in the form.
The form must be completed with accurate information regarding the excise taxes owed.
The purpose is to report and pay excise taxes accurately and timely.
Information on the excise taxes owed and any related details.
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