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- In the Mandatory e-Pay Requirement—Waiver Request Reason section, select the option that applies to your situation. Provide any necessary explanations as required.
- If requesting a permanent waiver due to a physical or mental impairment, attach the completed Physician Affidavit of Permanent Physical or Mental Impairment form.
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- Follow the mailing instructions provided at the end of the form to submit your completed request.
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