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Appropriate Revised Certification for Annual Statement of Reasonableness Page 1**INSTRUCTIONS** If errors or omissions are found on the ASR, please make any necessary revisions on Page 1 in ink and
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Appropriate revised certification is for updating or correcting information on a certification document or form.
Anyone who needs to amend or rectify a previously submitted certification is required to file appropriate revised certification.
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The purpose of appropriate revised certification is to ensure accurate and up-to-date information is reflected on the certification document or form.
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