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1000 Lincoln Circle SE Orange City, IA 51041Dear Patient, Attached is the packet of information you need to complete to be considered for financial assistance at the Orange City Area Health System.
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The bo 136 statement is a financial disclosure form.
Government officials and employees are required to file the bo 136 statement.
The bo 136 statement can be filled out online or in paper form with all necessary financial information.
The purpose of the bo 136 statement is to disclose potential conflicts of interest and financial interests of government officials.
Information such as assets, liabilities, and sources of income must be reported on the bo 136 statement.
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