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Northern Tier Community Action Corporation Prey Counts Program P.O. Box 389 Emporium, PA 15834 Fax: (814)4860519DENTAL EXAMINATION REPORT NAME OF CHILDAGESEX Last First MiddleMCENTER/HOME BASEFADDRESS
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Norformrn Tier Community Action is a form that must be filed by certain individuals or organizations to report their community action activities.
Certain individuals or organizations engaged in community action activities are required to file Norformrn Tier Community Action.
Norformrn Tier Community Action can be filled out by providing relevant information about the community action activities undertaken.
The purpose of Norformrn Tier Community Action is to report and document community action activities for regulatory compliance and transparency.
Norformrn Tier Community Action must include details of the community action activities conducted, beneficiaries, outcomes, and any funds or resources utilized.
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