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VERIFICATION OF INDIAN PREFERENCE FOR EMPLOYMENT IN THE BUREAU OF INDIAN AFFAIRS AND THE INDIAN HEALTH SERVICE Complete one of the categories as stated in the Instructions and submit this form with
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This is to certify is a document that verifies certain information to be true and accurate.
Individuals or entities who are requested to provide certification of certain information are required to file this document.
This document can be filled out by providing the requested information accurately and signing the certification statement.
The purpose of this document is to provide assurance that the information provided is true and accurate.
The information that must be reported on this document will vary depending on the specific certification requested.
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