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Ther side before completing form. Applicant/Recipient (Name, Address, State, Zip Code). II. Is the applicant currently receiving EPA assistance? III. List all civil rights lawsuits and administrative complaints pending against the applicant/recipient that allege discrimination based on race, color, national origin, sex, age, or disability. (Do not include employment complaints not covered by 40 C.F.R. Parts 5 and 7. See instructions on reverse side.) IV. List all civil rights lawsuits and.

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