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DEPARTMENT OF HEALTH SERVICES Division of Public Health F02455 (01/2023)STATE OF WISCONSIN Vaccines for Children ProgramACKNOWLEDGEMENT PAGE:FOR ANNUAL ENROLLMENT AND PROVIDER AGREEMENT, AND VACCINE
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Confirm the details of your annual income and any deductions you may be eligible for.
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The acknowledgement page for annual is a form to confirm receipt of an annual report or statement.
All parties who submit an annual report or statement are required to file the acknowledgement page for annual.
The acknowledgement page for annual can typically be filled out online or by mail, following the instructions provided by the relevant entity.
The purpose of the acknowledgement page for annual is to ensure that the submission of annual reports or statements has been received and processed.
The acknowledgement page for annual may require details such as the name of the submitter, the date of submission, and a reference number for the annual report or statement.
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