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School District Name:School Name:Individuals Name: Mailing Address (No PO Boxes / Signature Required): City: State:Zip Code:Phone:Program: Seizure Rescue Medication Training for School Employee volunteersAmount:
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It is a form used to report stipend payments related to seizure training.
Individuals or organizations who have made stipend payments for seizure training are required to file this form.
The form should be filled out with accurate information about the stipend payments made for seizure training.
The purpose of the form is to report stipend payments made for seizure training purposes.
The form requires information about the stipend payments made, including the amount, recipient, and purpose.
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