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This form may be printed then completed and hand delivered or
mailed to:Human Resources
City of Scottsbluff
2525 Circle Drive
Scottsbluff, NE 69361DO NOT ATTEMPT TO SUBMIT ELECTRONICALLY!
FAX SUBMISSIONS
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The purpose of the mailed to section is to ensure that the mail reaches the intended recipient accurately and timely.
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The mailed to section should include the recipient's full name, complete address, including city, state, and zip code.
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