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HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA CONSENT TO PARTICIPATE IN A RESEARCH STUDY AND RESEARCH SUBJECT HIPAA AUTHORIZATION Protocol Title:A5361s, Version 1.0, 12/9/2016: to Reduce Physical Function

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What is a5361s version 1?

a5361s version 1 is a specific form used for reporting financial information to the authorities.

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Entities with certain financial assets or transactions are required to file a5361s version 1.

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To fill out a5361s version 1, you need to provide accurate and detailed information about your financial assets and transactions.

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What information must be reported on a5361s version 1?

On a5361s version 1, you must report details of your financial assets, transactions, and other relevant information.

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