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A COUNTY Berks | Cumberland | Dauphin | Lancaster | Lebanon | PerryCOMMUNITY HEALTH NEEDS ASSESSMENT OVERVIEWConducted on behalf of: Penn State Health Milton S. Hershey Medical Center Penn State Health
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Obtain a six-county form from the appropriate issuing authority.
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Read the instructions carefully to understand what information is required.
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Fill in your personal details such as name, address, date of birth, and any other required information.
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Provide details of the six counties you wish to list on the form.
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Who needs a six-county?

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Individuals who wish to formally declare their connection or affiliation with the six counties in question.
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Organizations or institutions that require documentation of an individual's affiliation with the six counties for legal or administrative purposes.
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A six-county is a financial disclosure form that public officials must file.
Public officials such as elected officials, board members, and certain government employees are required to file a six-county.
To fill out a six-county, individuals must provide detailed information about their financial interests and assets.
The purpose of a six-county is to promote transparency and prevent conflicts of interest in government.
Information such as income sources, property ownership, investments, and business interests must be reported on a six-county form.
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