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THIS NOTICE DESCRIBES HOW COLORADO HIS DATA ABOUT YOU AND YOUR HOUSEHOLD MAY BE USED AND DISCLOSED AND HOW YOU MAY ACCESS COLORADO HIS DATA PLEASE READ CAREFULLY Form Effective Date: February 1, 2013,
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This notice describes how to report specific information to the designated authority.
All individuals or entities with the relevant information are required to file this notice.
The notice should be filled out according to the instructions provided by the designated authority.
The purpose of this notice is to ensure compliance with reporting requirements.
Specific information as outlined by the designated authority must be reported on this notice.
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