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ST5 (Rev. 10/2016)STATE OF GEORGIA DEPARTMENT OF REVENUE SALES TAX CERTIFICATE OF EXEMPTION GEORGIA Purchaser: SPIRAL BINDING LLC SUPPLIERDATE1 MALTESE DRIVETOTOWA, SUPPLIERS ADDRESSCITYSTATE07512
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To fill out the frm-0172 for human cells and tissues, follow these steps:
02
Start by providing your personal information such as your name, address, and contact details in the designated fields.
03
Indicate the purpose of the form and the specific cells or tissues you are requesting.
04
If applicable, provide the name and contact information of the recipient or the medical facility where the cells or tissues will be used.
05
Fill out the relevant medical information section, including any known medical conditions, allergies, or previous tissue transplant history.
06
Attach any supporting documents or medical reports, if required.
07
Review the form for completeness and accuracy before submitting it.
08
Sign and date the form to certify the information provided.
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Submit the completed form to the appropriate authority or institution as instructed.
Who needs frm-0172 human cells tissues?
01
Frm-0172 for human cells and tissues is typically needed by individuals or medical facilities involved in medical research, tissue transplantation, or other medical procedures that require the use of human cells or tissues. This form helps in the proper documentation and authorization of the use and transfer of human cells and tissues, ensuring compliance with legal and ethical guidelines.
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What is frm-0172 human cells tissues?
frm-0172 human cells tissues is a form used to report information on human cells and tissues.
Who is required to file frm-0172 human cells tissues?
Healthcare facilities and organizations that deal with human cells and tissues are required to file frm-0172.
How to fill out frm-0172 human cells tissues?
frm-0172 human cells tissues can be filled out electronically or manually, following the instructions provided on the form.
What is the purpose of frm-0172 human cells tissues?
The purpose of frm-0172 human cells tissues is to gather data on the use and distribution of human cells and tissues for regulatory purposes.
What information must be reported on frm-0172 human cells tissues?
Information such as the source of the cells or tissues, their intended use, and any relevant processing methods must be reported on frm-0172.
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