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This form is effective beginning with the January 1 to June 30, 2017, accounting period (2017/1) If you are filing for a prior accounting period, contact the Licensing Division for the correct form.
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Forms by program are official documents used to report information to a specific program or organization.
Individuals or entities who are part of the program or organization and are required to report specific information.
Forms by program can be filled out either manually or electronically, following the instructions provided by the program or organization.
The purpose of forms by program is to collect and record accurate information needed for the program or organization to function effectively.
Forms by program usually require reporting of personal or business information, financial details, and other relevant data specified by the program.
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