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<br />INITIAL REPORTING FORM <br />(this form should be submitted within thirty (30) days of the deadline for hiring provided in the Agreement) <br /> <br />I <br />i <br />i <br /> <br />II Name of Original Hiree Residence of Hiree Date of Hire Job TitlelPosition I <br /> ,..... <br /> ~ <br /> :::t= <br /> eo <br /> ~ <br /> ~ <br />