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FORM #5 [Response to Employer, Credentialing Committee, & other Inquiries]OFFICIAL DEPARTMENT LETTERHEADCONFIDENTIAL AND PRIVILEGED[Date're: [name of resident]ACME Program Specialty and #: ___Dates
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5 FAH-1 H-410 is the official form used for reporting financial interests for employees of the U.S. Department of State.
Employees of the U.S. Department of State are required to file 5 FAH-1 H-410 official.
5 FAH-1 H-410 official must be filled out online through the designated portal provided by the U.S. Department of State.
The purpose of 5 FAH-1 H-410 official is to disclose and report any financial interests that may pose a conflict of interest for employees of the U.S. Department of State.
Employees must report any financial holdings, investments, debts, gifts, and other financial interests on 5 FAH-1 H-410 official form.
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