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HEALTH BENEFITS PROGRAM CHAPTER 375 APPLICATION FOR SHIP/SE HBP COVERAGE OF A CHILD UP TO AGE 31 1. COVERED CHILD S INFORMATION-This section must be filled out completely. Please print or type. Social
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The shbpisrpotos form is a financial disclosure form used to report certain income and assets.
Individuals who meet certain criteria set forth by the relevant regulatory authority are required to file the shbipsirpotos form.
The shbpisrpotos form can be filled out online or submitted via mail with all required information accurately provided.
The purpose of shbpisrpotos form is to promote transparency and integrity by disclosing financial interests.
The shbpisrpotos form requires reporting of income, assets, liabilities, and other financial interests.
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