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(Both pages must be completed by each disadvantaged owner this form may be copied). As of (date). DOT Form #1307 1/13. Complete this form for: (1) each ...
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Both pages must be completed and submitted.
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All individuals or entities required to submit the pages must do so.
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The pages must be filled out completely and accurately, following the instructions provided.
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Specific information required for reporting purposes must be included on both pages.
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