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PLEASE PRINT State of Wisconsin Substance Release Notification Form 24Hour Emergency Hotline Number: 18009430003 Form 440091 Rev. 1195 Date and Mil. Time of Incident I/ 1 \”\” 3 /9tf.c,,,,;,,,

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How to fill out affe date 12-h rptd

01

Gather all relevant information and data related to the incident that occurred 12 hours ago.

02

Fill out the appropriate sections of the Affe Date 12-h Rptd form accurately and truthfully.

03

Provide a detailed description of the incident, including the date, time, location, and any individuals involved.

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Make sure to include any relevant evidence or supporting documentation to substantiate the information provided.

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Review the completed form for any errors or missing information before submitting it for review.

Who needs affe date 12-h rptd?

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Individuals who have been involved in or witnessed an incident that occurred 12 hours ago and need to report it to the relevant authorities.

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What is affe date 12-h rptd?

Affe date 12-h rptd stands for affected date 12-hour reported. It is a report that must be submitted by certain individuals or entities.

Who is required to file affe date 12-h rptd?

Individuals or entities who have been affected by an event within 12 hours are required to file affe date 12-h rptd.

How to fill out affe date 12-h rptd?

Affe date 12-h rptd can be filled out by providing relevant information about the event that occurred within the last 12 hours and its impact on the individual or entity.

What is the purpose of affe date 12-h rptd?

The purpose of affe date 12-h rptd is to provide timely information about events that have occurred and their effects on reporting individuals or entities.

What information must be reported on affe date 12-h rptd?

Information such as the nature of the event, the time it occurred, and the impact it had on the individual or entity must be reported on affe date 12-h rptd.

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