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Request for Replacement of Unusable ProductELIGIBILITY ATTESTATION FORM If a EXTENT insert is deemed unusable (per the treatment statement below)*, Ocular Therapeutic may send a replacement product
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What is attestation and agreement to?
Attestation and agreement is a legal document that confirms the accuracy of information provided and agrees to comply with certain terms and conditions.
Who is required to file attestation and agreement to?
Certain individuals or entities may be required to file attestation and agreement depending on the specific regulations or agreements in place.
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Attestation and agreement forms can typically be filled out online or in paper form, following the instructions provided.
What is the purpose of attestation and agreement to?
The purpose of attestation and agreement is to ensure that the information provided is accurate and to confirm compliance with certain requirements.
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Information such as personal details, declaration of compliance, and signature may be required on the attestation and agreement form.
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