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Appendix 104Mumps Surveillance Worksheet NAME (last) (first)ADDRESS (Street and No.) Confirmed Probable Not a case Suspected UnknownReporting State DATE OF BIRTH month monthdayyearCountry of Birth

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What is appendix 10-4?

Appendix 10-4 is a specific supplemental form or document required by certain regulations, typically used to report financial or operational information in a standardized format.

Who is required to file appendix 10-4?

Entities or individuals that meet specific regulatory criteria, often related to financial reporting or compliance with industry standards, are required to file appendix 10-4.

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To fill out appendix 10-4, follow the provided guidelines, ensuring all required information is accurately reported in each designated section, and consult any available instructions or examples.

What is the purpose of appendix 10-4?

The purpose of appendix 10-4 is to ensure standardized reporting and transparency of specific information, helping regulators and stakeholders assess compliance and operational effectiveness.

What information must be reported on appendix 10-4?

Appendix 10-4 typically requires reporting on financial data, operational metrics, compliance details, and any other relevant disclosures as specified in the regulatory guidance.