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FOR PROCESSING SEND FORM TO: DuPont Company, Attn: D. Hendrickson, HIPAA Privacy Official 974 Center Road, P.O. Box 2915, CRP 711/2130A Wilmington, Delaware 19805 AUTHORIZATION FOR THE USE AND DISCLOSURE
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The processing send form is used to request a transfer of data or materials for further processing.
Any individual or organization that needs to send data or materials for processing is required to file the form.
The form can be filled out electronically or on paper, providing detailed information about the data or materials being sent and the purpose of the processing.
The purpose of the form is to ensure that all necessary information is provided for the successful processing of the data or materials being sent.
Information such as the type of data or materials being sent, the quantity, the processing facility, and any special handling instructions must be reported on the form.
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