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Disabled Dependent Certification 721 South Parker, Suite 200 Orange, CA 92868 (800) 580-9626 www.kpchoicesolution.com After completing Section A, please forward this form to your physician for his
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pl 0440color is a form used for reporting color information.
Any entity or individual who deals with color information may be required to file pl 0440color.
pl 0440color can be filled out by providing the relevant color information in the designated fields on the form.
The purpose of pl 0440color is to collect and report color information for regulatory or compliance purposes.
On pl 0440color, information such as color codes, color names, and color swatches may need to be reported.
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