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Get Form 14568 2014-2024

Pplicant s EIN, and plan number on each page of the submission, including attachments Section I - Plan Information 1. Applicant's name 2. Applicant's EIN (do not use SSN) 3. Plan number 4. Plan name Section II - Applicant's Description of Failures Attach additional pages, as needed. Label attachment Section II. Applicant s Description of Failures. List and number each failure separately. If using the Appendix C, Part II Schedules, simply specify the Schedule(s) that are to be part.

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