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State of California DUTY STATEMENT SH3002 (Rev. 3/22/12) Employee Name Position No / AgencyUnitClassSerial 4875642116Class Title Laundry Worker SUBJECT TO CONFLICT OF INTEREST CODEYesNoDepartment
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Form Department of State is a document that must be completed by certain individuals or entities to report their activities to the U.S. Department of State.
Entities or individuals who engage in certain activities involving foreign countries may be required to file Form Department of State.
Form Department of State can be filled out electronically on the U.S. Department of State website or submitted via mail.
The purpose of Form Department of State is to provide the U.S. Department of State with information about activities that may impact foreign policy or national security.
Form Department of State requires reporting of activities such as lobbying, advocacy, or business transactions with foreign entities.
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