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Bspa.state. or. us Section 1 Effective Date of Change Reason for Change Assistant Information Name Cert Expiration Date Phone Email Affidavit I have read and agree to abide by the provisions of Oregon Administrative Rules Chapter 335 Division 95 regarding SLPA supervision http //arcweb. The SLPA must complete sections 1 and 2 and have the supervisor complete sections 3 4 5 if appropriate and 6 if appropriate. additions/subtractions/replacements i.

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