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DEPARTMENT OF HEALTH SERVICES Division of Enterprise Services F80983 (07/2016) STATE OF WISCONSIN AD 19.1, 31.8, 60.3, 52.3, 36.4;32.6CIVIL RIGHTS COMPLAINT Any consumer of Department of Health Services
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Ad 19 is a form used to report information about certain financial transactions.
Individuals or entities that have conducted specified financial transactions are required to file ad 19.
Ad 19 can be filled out online or submitted in paper form with all required information accurately provided.
The purpose of ad 19 is to report details of certain financial transactions for regulatory and compliance purposes.
Information such as the nature and amount of the financial transaction, parties involved, and any other relevant details must be reported on ad 19.
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