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Animal Encounter Report Form
SG58 REV. 10/12
FOR HEALTHCARE PROVIDER/FACILITY ATTENDING TO ANIMAL BITE PATIENT
PAGE 1
Note to Providers: Complete as much information as possible on page 1 of this
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sg-58 rev is a financial form used for reporting certain information to the relevant authorities.
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Businesses or individuals who meet certain criteria set by the authorities are required to file sg-58 rev.
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sg-58 rev requires reporting of income, expenses, and other financial data as specified by the authorities.
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