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DocuSign Envelope ID: C9DE5D336BE941C69A08E14C219423F1SIGNATURE DOCUMENT FOR DEPARTMENT OF STATE HEALTH SERVICES CONTRACT NO. 53718013600001 UNDER THE PUBLIC HEALTH EMERGENCY PREPAREDNESS COOPERATIVE
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The form department of state is a document required by the state's department to collect information about business entities or individuals for regulatory purposes.
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The purpose of the form is to ensure compliance with state regulations, maintain accurate records of business entities, and facilitate communication between the state and the entities.
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Information typically includes the entity's name, address, date of establishment, type of business, owner or principal's information, and any previous filing history.
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