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PAYROLL USE ONLYDEPARTMENT OF HEALTH AND HUMAN SERVICESPUBLIC HEALTH SERVICE COMMISSIONED OFFICER\'S REQUEST FOR DEPENDENCY DETERMINATION LAST (4) OF YOUR SOCIAL SECURITY NUMBER OR SERVO NUMBER NAME
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Form PHS 1637-1 is a public health service form used for reporting specific health-related data to ensure compliance with public health regulations.
Entities such as healthcare organizations, public health agencies, and other institutions involved in public health activities are required to file form PHS 1637-1.
To fill out form PHS 1637-1, follow the provided instructions, fill in the required fields accurately, and ensure you provide all necessary documentation and signatures.
The purpose of form PHS 1637-1 is to collect information relevant to public health initiatives, track compliance, and facilitate funding or program evaluation.
Form PHS 1637-1 requires the reporting of health data, organizational details, funding information, and compliance with relevant public health standards.
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