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Form Approved OMB No. 05600289 Expiration Date: 04×30/2023 1. County FSA Name and Address (Including Zip Code×This form is available electronically U.S. DEPARTMENT OF AGRICULTURE Commodity Credit
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How to fill out wwwhhsgovsitesdefaulthhs office for civil

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Open your web browser and go to the website www.hhs.gov/socr/
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Look for the section titled 'Office for Civil Rights' and click on it
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Locate the 'Contact Us' button or link on the Office for Civil Rights page
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Click on the 'Contact Us' button or link to access the contact information form
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Fill out the required fields in the contact information form, such as your name, email address, and phone number
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The Office for Civil Rights (OCR) ensures that the U.S. Department of Health and Human Services (HHS) complies with civil rights laws.
Health care providers, health plans, and health care clearinghouses that transmit any health information in electronic form.
Fill out the required forms provided by OCR and submit all necessary information.
The purpose of OCR is to protect the rights of individuals and ensure equal access to health information and services.
Protected Health Information (PHI) and any security breaches or violations.
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