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What you get: Instant access to fillable Microsoft Word or PDF forms. G) A completed, signed QME SFI Form 124.(QME Disclosure of Specified Financial Interests That May Affect the. Download QME disclosure of specified financial interests (QME 124) – Industrial Relations (California) form. A: The applicant must make a complete and accurate disclosure (21 CFR § 54.4(a)(3)). CMA Part 2 - Financial Decision Making - Examination Sample Questions 5 10. (3) No alternatives for service available within 25 miles or a 40-minute drive and physician makes full disclosure about financial interests in these services. Believe it is in that person's best interests to hire a lawyer. Download Fillable Qme Form 124 In Pdf - The Latest Version Applicable For 2023. The Release, and the accompanying financial data.