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Made under oath. I understand that I may be liable to criminal prosecution for withholding information or providing false or misleading information. Date: Client's Signature 1257 Revised: 04/08 Page 1 of 2 Transitional Employment Allowance Information for Report ng Changes i Your changes must be reported on a Transitional Employment Allowance Change Form . These forms are available at the Career and Employment office in your area or.

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