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Failure to report can result in afine of Sl 100 for eachsuch violation and eachday during which such violation continuesshall be deemeda separateviolation. According to the P eFWork Reduction Act of 1995 an tyfe. 720-2600 voice and f Tofile a cOnqJlaint of discrimination write 0 uSDA Director Office of Civil Ritrhts UOO Independence Avenue S. w. Persons wtth disabilities who r quire alternative meansJ. J communication 0 rogram information BraiUe1wge print auiliotapel.etc. should contact USDA...

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6. Review the form one last time to make sure you haven't missed any sections or made any errors.
7. Submit the completed form through the designated method specified in the instructions.
8. Keep a copy of the completed form for your records.

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