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SOUTHERN PIONEER LIFE INSURANCE COMPANY PO BOX 64270, ST. PAUL, MN 551640270 PHONE 18004829260 FAX 18006047819P AR T 2: E state Re pres tentative: Complete T his Section. (1)AT T AC H A C E R T IF
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Provide details about the DPT (Diphtheria, Pertussis, and Tetanus) vaccine, including the brand name, batch number, and date of administration.
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sp2-corrected-dpt refers to a corrected version of the sp2-dpt form, which is used to report certain financial information to regulatory authorities.
Any individual or entity that is required to submit the original sp2-dpt form and subsequently discovers errors or discrepancies in the original filing.
To fill out sp2-corrected-dpt, the filer must indicate the corrections or changes made to the original sp2-dpt form and submit the revised information accordingly.
The purpose of sp2-corrected-dpt is to rectify any inaccuracies or mistakes in the original sp2-dpt filing, ensuring that the financial information provided to regulatory authorities is correct and up to date.
sp2-corrected-dpt must include any corrected financial information that was inaccurately reported on the original sp2-dpt form.
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