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HEADLINES:
NOTICE: Form OIR-C1-905 "Instructions for Furnishing Background Investigative Reports", has been revised. Applications submitted after January 1, 2005 that do not follow the revised instructions may be returned as incomplete.
ALL FORMS
Approved Prepaid Health Clinic Application Package
OIR-C1-483
PREPAID HEALTH CLINIC APPLICATION FOR CERTIFICATE OF AUTHORITY
OIR-C1-BAL-PHC
PREPAID HEALTH CLINIC
OIR-C1-903
REQUEST FOR PAYMENT OF FINGERPRINT CHARGES
OIR-C1-905
INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS
OIR-C1-938
FINGERPRINT CARD INSTRUCTIONS
OIR-C1-1423
BIOGRAPHICAL AFFIDAVIT