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ACTION: OriginalDATE: 04/29/2005 4:53 PMRule Summary and Fiscal Analysis (Part A) Department of Job and Family Services Agency NameDivision of Medical AssistanceNancy Van KirkDivisionContact30 E.
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The 51013-2-10 amendment is a regulatory form that must be filed with a specific authority to amend previously submitted information, often related to financial, tax, or compliance matters.
Entities or individuals who have previously submitted information that needs correction or updating are required to file the 51013-2-10 amendment.
To fill out the 51013-2-10 amendment, you should provide the required identifying information, details of the original submission, and the changes being made, ensuring all sections are completed accurately.
The purpose of the 51013-2-10 amendment is to officially document any changes or corrections to previously submitted information to ensure compliance with regulatory requirements.
The information that must be reported includes the original submission details, the specific amendments being made, and any relevant documentation to support the changes.
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