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Get CA QR 7 - LA 2012

IF NOT RECEIVED BY THE 11 OF THE SUBMIT MONTH. SUBMIT MONTH TH AND RETURN IT BY __________5 . YOUR QR 7 IS SUBMIT MONTH CASE NAME: CASE NUMBER: FILE/UNIT NUMBER: WORKER PHONE: (Bar Code) NEED HELP? CALL YOUR WORKER MAIL BACK TO ADDRESS: ADDRESSEE: You must report all of the income received in the Report Month of ___________________. If you do not send in a complete QR 7 report, including but not limited to, answering all questions and attaching proof when the question says to attach proo.

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