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PHYSICIANS MEDICAL CLEARANCEPlease scan to Hannah Hutton, MRC Fitness Director at hannah.hutton@fairfaxcounty.gov. Clients Name: ___ Date of Birth:___I hereby authorize my health care provider to
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Form benefits of rec is a form used to report information about the benefits received by individuals.
Individuals who have received benefits are required to file form benefits of rec.
Form benefits of rec can be filled out by providing all necessary information about the benefits received.
The purpose of form benefits of rec is to report and document the benefits received by individuals.
Information such as the type of benefits received and the amount must be reported on form benefits of rec.
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