5871 form
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SOM-5871 - Advantech. Dual channel DDR4, Max 32GB (both ECC & non-ECC). ▫ Supports quad independent symmetrical displays (4 x 4K displays).
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Form 5871, Disclosure of Ownership and Control Statement
Form 5871 is completed and submitted as a condition of approval or renewal of a Texas Medicaid enrollment application or a contract agreement between the ...
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49 CFR § 391.44 - Physical qualification standards for an ...
(1) During the evaluation of the individual, the ophthalmologist or optometrist must complete the Vision Evaluation Report, Form MCSA-5871.
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