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Check statement that applies: ❏ 1. Complete the proposed corrections in your compliance statement within the 150day deadline.Correct – fix the failures before or after you file the submission. Complete item B if you want an acknowledgment sent to you. Complete in blue or black ink or print form. Check and complete at least one: The inaccuracy or defect to be corrected is (include Department of State form name and date filed):. Complete and include this form with your paper submission. Complete in blue or black ink or print form. Adjusting documents with our comprehensive and intuitive PDF editor is straightforward. Only employees may correct errors or omissions made in Section 1.