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ACTION: OriginalDATE: 11/17/2009 3:39 PMRule Summary and Fiscal Analysis (Part A) Department of Job and Family Services Agency NameDivision of Medical AssistanceNancy Van KirkDivisionContact30 E Broad
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The 51013-1-19 amendment is a regulatory form used for specific reporting requirements, typically related to financial or tax information.
Generally, entities or individuals who have previously submitted related documentation and need to amend or correct their information are required to file the 51013-1-19 amendment.
To fill out the 51013-1-19 amendment, one must provide accurate information in the designated fields, ensuring all necessary details regarding the amendments are clearly stated.
The purpose of the 51013-1-19 amendment is to ensure accurate and up-to-date information is reported, allowing for proper compliance with regulations.
The information required includes specific data originally filed, the changes being made, and any additional context necessary for the amendment.
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