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Appendix D1 (Agency or Chapter or SIG) Participant Roster Program Event Title: Date: Name of Provider: Street Address: City: State Last NameFirst NameEmail addressTotal ParticipantsAgency/Chapter/SIG
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Appendix D1 agency OR is a form used by certain agencies to report information on their employees.
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The purpose of appendix D1 agency OR is to gather information on employees of certain agencies for regulatory and reporting purposes.
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Information such as employee names, positions, salaries, and benefits may need to be reported on appendix D1 agency OR.
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