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DEPARTMENT OF HEALTH SERVICES Division of Care and Treatment Services F24277 (09/2016)STATE OF WISCONSIN 42 CFR483.420(a)(2) DHS 134.31(3)(o) DHS 94.03 & 94.09 51.61(1)(g) & (h)INFORMED CONSENT FOR

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313o is a specific form used for reporting certain financial transactions to the government.

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The purpose of 313o is to track and monitor certain financial transactions for regulatory and oversight purposes.

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313o requires the reporting of specific details about the financial transactions being made.

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