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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 />I <br />~ <br />I <br />i <br /> <br />Name ofOrilrinal Hiree Residence of Hiree Date of Hire Job TitlelPosition I <br />... <br />~ <br />::r: <br />t:l:l <br />1:3 <br />~ <br />