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Page 1 of 8 R-39 Rev. 03/2012 (Title page) IMPORTANT: Read instructions on back of last page (Certification Page) before completing this form. Failure to comply with instructions may cause disapproval
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Submit the filled-out regulation form to the appropriate department or office as indicated in the instructions. Follow any specified submission methods, such as mailing, online submission, or hand-delivery.
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Individuals applying for a specific permit or license that falls under the jurisdiction of the department.
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The regulation form department of is for reporting compliance information.
Who is required to file regulation form department of?
All businesses regulated by the department are required to file the form.
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The purpose of the form is to ensure businesses are in compliance with regulations.
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Business information, compliance details, and any violations must be reported.
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