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B. a. MAC Center of Fort Lauderdale Florida which are out of business. r 1 Hd g. Ntif 9ffiZ Page 1 ofS L. That date will become the start date for discounted services. You are advised to keep proof of the date of mailing of your form s. PURPOSES OF CIPA is are in compliance with the requirements ofCIPA under 47 U.S.C. 254 1 and undertaking such actions including any necessary procurement procedures to comply with the requirements ofCIPA under 47 U.S.C. I am providing notification that as...
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Applicants form identifier 12-002 is a form used to collect information from individuals applying for a specific program or benefit.
Individuals who wish to apply for the program or benefit that requires form identifier 12-002 must file this form.
Applicants must carefully follow the instructions provided on the form and provide accurate information as requested.
The purpose of form identifier 12-002 is to gather necessary information to determine eligibility for the specific program or benefit.
Applicants must provide personal information, financial details, and any other information requested on form identifier 12-002.
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