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New Jersey Department of Health Clinical Laboratory Improvement Services PO Box 361 Trenton, NJ 086250361 BLOOD BANK ANNUAL STATISTICS (Out of Hospital and Emergency Only Transfusion Facilities) Name

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1. Begin by accessing the New Jersey Department of website or obtaining a physical copy of the necessary form.
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5. If applicable, provide any additional information or documentation requested to support your application.
6. Review the completed form thoroughly before submitting it to verify that no sections are missing or incomplete.
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