-
7/21/2019 Requirement for Consent, Form #05.003
1/421
_kqucrklk`t air Gi`sk`t : ia 8??Gipyrcdbt Wivkrkcd`ty Khugjtci`
j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7, _kv.
4-?7-?>:7 KRBCOCX=YYYYYYYY
_KZ[C_KLK@X AI_ GI@WK@X
"Xbk chkjf tyrj``y cs tbjt wbcgb cs cd`irj`tfy skfa-jhlc`cstkrkh
oy cts vcgtcls. Xbk listpkrakgt sfjvks jrk, tbkrkairk, tbisk wbcgb
ofcssauffy j`h u`jwjrkhfy k`sfjvk tbklskfvksUokgjusk ia tbkcr iw`
fkdjf cd`irj`gk\."UHrkshk` Mjlks\
http://sedm.org/http://sedm.org/http://sedm.org/http://www.biblegateway.com/passage/?search=Hosea+4:6&version=NKJVhttp://www.biblegateway.com/passage/?search=Hosea+4:6&version=NKJVhttp://www.biblegateway.com/passage/?search=Hosea+4:6&version=NKJVhttp://www.biblegateway.com/passage/?search=Hosea+4:6&version=NKJVhttp://sedm.org/
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7/21/2019 Requirement for Consent, Form #05.003
2/421
_kqucrklk`t air Gi`sk`t ? ia 8??Gipyrcdbt Wivkrkcd`ty Khugjtci`
j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7, _kv.
4-?7-?>:7 KRBCOCX=YYYYYYYY
XJOFK IA GI@XK@XW
XJOFK IA GI@XK@XW
.......................................................................................................................
?
FCWX IA XJOFKW
..................................................................................................................................
;
XJOFK IA J[XBI_CXCKW
.................................................................................................................
;
: Xbk kssk`gk ia sivkrkcd`ty= Gi`sk`t
...........................................................................................
87
:.:
_kqucrklk`t air gi`sk`t cs tbk AI[@HJXCI@ ia iur systkl ia gcvcf
fjw.......................... 88:.? Gi`sk`t cs tbk I@FS wjy ^[OFCG
gcvcf stjtutks j`h ^_CQJXK gi`trjgts gj` jgqucrk tbk
airgk ia
fjw.........................................................................................................................
81:.7 Fiss ia `jturjf ir gilli` fjw _cdbts rkqucrks GI@WK@X
................................................. 81:.8 Gi`sk`t
rklivks kqujfcty u`hkr tbk
fjw................................................................................
82:.; Divkr`lk`ts purpisk air kxcstk`gk= Xi pritkgt tbk rkqucrklk`t
air gi`sk`t..................... ;>:.1 Gi`sk`t gcrgulsgrcoks tbk
oiu`hjry oktwkk` ^[OFCG j`h ^_CQJXK, j`h wbjt cs
HILKWXCG j`h AI_KCD@
..................................................................................................
;?:.4 Gikrgci`
Mustcgk c` yiur c`tkrjgtci`s wctb
divkr`lk`t...................................................................
:>3
7.:: Gi`gfusci`s
..........................................................................................................................
::?8 Gi`sk`t aril j rkfcdcius pkrspkgtcvk
........................................................................................
::7
8.: Dih i`fy rkfjtks ti ^kipfk wbi gi`sk`t tbriudb givk`j`ts
................................................ ::78.? Xbk Ljc`
hcaakrk`gk oktwkk` Dih j`h Wjtj` cs Biw tbky ^rigurk yiur Gi`sk`t
j`h
Giipkrjtci`
..........................................................................................................................
::18.7 Wjtj` `kkhs yiur GI@WK@X ti hi josifutkfy kvkrytbc`d bk hiks
ti burt yiu ................... ::2
; Xbk truk lkj`c`d ia
vifu`tjry..............................................................................................
::3
1 Siur iwkr ti Gi`trjgt
.............................................................................................................
:?8
1.: Xbk piwkr ti hkac`k tbk scd`cacgj`gk ia yiur IT@ wirhs cs
tbk I_CDC@ ia yiur rcdbt tigi`trjgt
.................................................................................................................................
:?8
1.?
Xbk tbrkk lktbihs air kxkrgcsc`d iur Gi`stctutci`jf rcdbt ti
gi`trjgt ................................ :?4
1.7 Gi`sk`t v.
Jdrkklk`t...................................................................................................
:7;4 Xbc`ds yiu GJ@@IX fjwauffy gi`sk`t ti
................................................................................
:87
4.: Dih airochs okfckvkrs ti gi`trjgt jwjy rcdbts ti divkr`lk`t
ir gcvcf rufkrs ....................... :874.? Siu gj``it gi`sk`t
ti pkrairl j` cffkdjf jgt wctbiut grclc`jf gi`skquk`gks
.................... :8;4.7 @i`-arj`gbcskks gj``it fjwauffy gi`sk`t
ti tbk murcshcgtci` ia j arj`gbcsk giurt ............... :8;4.8 Siu
gj``it fjwauffy gi`sk`t c`hcvchujffy ti k`fjrdk J@S ia tbk gcvcf
piwkrs ia divkr`lk`t
j`h ca yiu hi, tbk iofcdjtci`s grkjtkh jrk [@K@AI_GKJOFK
......................................... :842 Biw pkipfk
vifu`tjrcfy k`sfjvk tbklskfvks
..............................................................................
:;?
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7/21/2019 Requirement for Consent, Form #05.003
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_kqucrklk`t air Gi`sk`t 7 ia 8??Gipyrcdbt Wivkrkcd`ty Khugjtci`
j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7, _kv.
4-?7-?>:7 KRBCOCX=YYYYYYYY
2.: Gi`sk`t cs wbjt grkjtks tbk pkrsi` ir c`hcvchujf wbi cs tbk
i`fy pripkr suomkgt iadivkr`lk`t gcvcf fjw
............................................................................................................
:;8
2.? Xbk prigkss oy wbcgb tbk pkipfk QIF[@XJ_CFS k`sfjvk
tbklskfvks ............................ :;32.7 Gilpufsiry Gcvcg
Wkrvcgk= Siu WKG_KXFS vifu`tkkrkh!
................................................ :;32.8 Gi`sk`tc`d
ti tbk murcshcgtci` ia Giurt
................................................................................
:17
3 Divkr`lk`t j`h gi`sk`t
............................................................................................................
:12
3.:
Biw jrk gcvcf fkdjf iofcdjtci`s tiwjrh divkr`lk`t fjwauffy
grkjtkh9 ................................ :12
3.? Xbk Wigcjf Gi`trjgt/Gilpjgt
..............................................................................................
:423.?.: C`trihugtci`
......................................................................................................................
:423.?.? Divkr`lk`t vcifjtci` ia tbk Wigcjf Gi`trjgt/Gilpjgt
................................................... :433.?.7
_iusskjus hksgrcptci` ia tbk Wigcjf
Gi`trjgt/Gilpjgt.................................................
:2>
3.?.8 Orkjgbks ia tbk Wigcjf Gilpjgt suomkgt ti muhcgcjf rklkhy
............................................ :273.?.; XTI sigcjf
gilpjgts c` Jlkrcgj
...................................................................................
:283.?.1 Xbk XTI sigcjf gi`trjgts/gilpjgts GJ@@IX fjwauffy ivkrfjp
j`h yiu gj`t ok suomkgt
ti OIXB jt tbk sjlk tclk
...............................................................................................
:2;3.?.4
Gbjffk`dc`d tbk k`airgklk`t ia tbk Wigcjf Gi`trjgt c` j Giurt ia
fjw ........................... :24
3.7 Hilcgcfk= Siu jrk`t suomkgt ti gcvcf fjw wctbiut yiur
kxpfcgct vifu`tjry gi`sk`t ............ :3>3.8 Gi`sk`t
gcrgulsgrcoks tbk fkdcsfjtcvk oiu`hjry oktwkk` AI_KCD@ j`h HILKWXCG
..... :32
3.;
Gbrcstcj`s jrk airochhk` oy Dihs fjw aril gi`sk`tc`d ti J@SXBC@D
divkr`lk`ts iaakr irhi :33
3.1 Xbisk wbi hi `it gi`sk`t ti J@SXBC@D iaakrkh oy j divkr`lk`t
jrk gjffkh sivkrkcd`j`h fkdcsfjtcvkfy airkcd` c` rkfjtci` ti tbjt
spkgcacg divkr`lk`t.....................................
?>>
3.4 Gilcty
..................................................................................................................................
?:;3.2 Akhkrjfcsl
............................................................................................................................
?:23.3 [`hkrstj`hc`d Jhlc`cstrjtcvk Fjw
.....................................................................................
??83.:> ^uofcg Fjw ir ^rcvjtk
Fjw9..........................................................................................
??3
3.:>.: ^uofcg v. ^rcvjtk fjw
........................................................................................................
?7>3.:>.? ^isctcvk Fjw
....................................................................................................................
?783.:>.7
Biw ^rcvjtk Fjw Jgqucrks tbk Airgk ia
Fjw..............................................................
?8>
3.:>.8 Mustcgk c` tbk gi`tkxt ia arj`gbcsks j`h yiur rcdbt ti
gi`trjgt ......................................... ?87
3.::
Wivkrkcd` Cllu`cty
.............................................................................................................
?81
3.::.: Hkac`ctci`
.........................................................................................................................
?813.::.? Biw sivkrkcd` cllu`cty rkfjtks ti akhkrjfcsl
...............................................................
?833.::.7 Tjcvkrs ia sivkrkcd` cllu`cty
.......................................................................................
?;>3.::.8 Tby KI^FK gj` c`viek sivkrkcd` cllu`cty jdjc`st
divkr`lk`ts ir divkr`lk`t
jgtirs
................................................................................................................................
?;73.::.; Biw KI^FK wjcvk sivkrkcd` cllu`cty c` rkfjtci` ti
divkr`lk`ts............................ ?;;3.::.1 Biw girrupt
divkr`lk`ts cffkdjffy prigurk clpfckh gi`sk`t ia ^kipfk ti wjcvk
tbkcr
sivkrkcd` cllu`cty
.........................................................................................................
?;1
:> Divkr`lk`t jvichj`gk ia fkdjf rkqucrklk`t air
gi`sk`t........................................................
?;3
:>.: C`trihugtci`
..........................................................................................................................
?1:
:>.?
Tby j`h biw tbk divkr`lk`t hkgkcvks yiu c`ti okfckvc`d tbjt
prcvjtk fjw cs puofcg fjwc` irhkr ti ^F[@HK_ j`h K@WFJQK yiu
u`fjwauffy ......................................................
?11:>.?.: Gi`strjc`ts i` divkr`lk`t fkdcsfjtcvk piwkr
..................................................................
?11:>.?.? Biw tbky hkgkcvk yiu c`ti tbc`ec`d tbjt ^_CQJXK fjw cs
^[OFCG fjw tbjt yiu lust
ioky
..................................................................................................................................
?14:>.?.7
Biw ti e`iw wbk` yiu jrk okc`d trcgekh
.......................................................................
?12
:>.7 Jousks ia sivkrkcd` cllu`cty
.............................................................................................
?4>:>.8 C`vcscofk gi`sk`t= Xbk wkjpi` ia tyrj`ts
.............................................................................
?48:>.; Divkr`lk`t Arj`gbcsks= Gi`sk`tc`d ti tbksk wcff hkstriy
JFF yiur itbkr rcdbts .............. ?44
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7/21/2019 Requirement for Consent, Form #05.003
4/421
_kqucrklk`t air Gi`sk`t 8 ia 8??Gipyrcdbt Wivkrkcd`ty Khugjtci`
j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7, _kv.
4-?7-?>:7 KRBCOCX=YYYYYYYY
:>.;.:
Wulljry ia tbk kaakgts ia arj`gbcsks
...............................................................................
?43
:>.;.? Hkac`ctci`
.........................................................................................................................
?2?:>.;.7 Ojscs air tbk fkdjf jutbircty ti kstjofcsb divkr`lk`t
arj`gbcsks ..................................... ?28:>.;.8
Arj`gbcsk ipkrjtci` c` j sclpfcackh `utsbkff
....................................................................
?24:>.;.; Tbkrk arj`gbcsks ljy fjwauffy ok k`airgkh
....................................................................
?38:>.;.1 Biw arj`gbcsks jrk stkjftbcfy c`trihugkh j`h
pripjdjtkh oy j girruptkh divkr`lk`t
wctbc` murcshcgtci`s iutschk tbkcr tkrrctiry
........................................................................
?3;
:>.;.4
Biw prcvjtk pjrtcks jousk arj`gbcsks ti gilpkf yiu ti gi`trjgt
wctb tbk divkr`lk`t ... 7>>
:>.;.2 Biw arj`gbcsks jrk fjwauffy jouskh js s`jrks oy
girrupt rufkrs ti trjp j`h k`sfjvk tbkc``igk`t j`h tbk cd`irj`t j`h
[`hkrlc`k tbk Gi`stctutci`jf skpjrjtci` ia piwkrs .......
7>?
:>.1 Xbk C`tkr`jf _kvk`uk Gihk cs `it ^uofcg ir ^isctcvk Fjw,
out ^rcvjtk Fjw ....................... 7>3:>.1.:
Xbk C`tkr`jf _kvk`uk Gihk rkpkjfkh ctskfa j`h jff prcir rkvk`uk
stjtutks wbk` ct wjsgihcackh c` :373
...............................................................................................................
7>3
:>.1.? Xbk C`tkr`jf _kvk`uk Gihk cs `it puofcg fjw ir
pisctcvk fjw, out prcvjtk fjw tbjt i`fyjppfcks ti tbisk wbi
c`hcvchujffy gi`sk`t
.......................................................................
7:?
:>.1.7 Xbk Xjx Gihk cs j stjtk-spi`sirkh _kfcdci`, `it j fjw
air pkipfk hilcgcfkh c` stjtksia tbk [`ci`
.....................................................................................................................
7:;
:>.1.8 Biw yiu wkrk hupkh c`ti scd`c`d up air tbk sigcjfcsl
arj`gbcsk j`h mic`c`d tbk stjtk-spi`sirkh rkfcdcius guft
...................................................................................................
77:
:>.1.;
@i i`k c` tbk divkr`lk`t gj` fjwauffy gi`sk`t ti tbk sigcjfcsl
arj`gbcsk jdrkklk`t... 773
:>.1.1 Lihkr` tjx trcjfs jrk rkfcdcius c`qucsctci`s j`h `it
vjfch fkdjf prigkssks................... 78;:>.1.4
@i Xjxjtci` Tctbiut Gi`sk`t
.........................................................................................
71>
:>.4 Jhlc`cstrjtcvk lktbihs ti kfclc`jtk ir jvich ir bchk tbk
rkqucrklk`t air gi`sk`t........ 718:>.4.:
_cddc`d divkr`lk`t airls ti grkjtk ajfsk prksulptci`s j`h
prkmuhcgk iur rcdbts .......... 711
:>.4.? Lcsrkprksk`tc`d tbk fjw c` divkr`lk`t puofcgjtci`s
...................................................... 711:>.4.7
Jutiljtci`
......................................................................................................................
712:>.4.8 Gi`gkjfc`d tbk rkjf chk`tctcks ia divkr`lk`t
wri`dhikrs ...............................................
713:>.4.;
Ljec`d ct hcaacguft, c`gi`vk`ck`t, ir gistfy ti iotjc`
c`airljtci` joiut cffkdjf divkr`lk`tjgtcvctcks
...........................................................................................................................
748
:>.4.1 Cd`irc`d girrkspi`hk`gk j`h/ir airgc`d jff gilpfjc`ts
tbriudb j` u`rkspi`scvk fkdjfsuppirt stjaa tbjt kxjspkrjtks j`h
tkrrirczks gustilkrs...............................................
74;
:>.4.4
Hkfcokrjtkfy huloc`d hiw` j`h pripjdj`hczc`d divkr`lk`t suppirt
pkrsi``kf wbi bjvkti clpfklk`t tbk fjw
........................................................................................................
741
:>.4.2 Grkjtc`d ir ofjlc`d j sgjpkdijt okyi`h tbkcr gi`trif
.................................................... 744:>.4.3
Xkrrirczc`d j`h tbrkjtk`c`d, rjtbkr tbj` bkfpc`d, tbk cd`irj`t
........................................ 742
:>.2 Gilli` siurgks ia cffkdjf divkr`lk`t hurkss
...................................................................
72>:>.2.: Hkgkptcvk fj`dujdk j`h wirhs ia jrt
...............................................................................
72::>.2.? Cd`irc`d _kspi`scvk Girrkspi`hk`gk ti Giffkgtci`
@itcgks .......................................... 72?:>.2.7
Arjuhufk`t airls j`h
puofcgjtci`s...................................................................................
72?:>.2.8
^ifctcgjf pripjdj`hj
........................................................................................................
727
:>.2.; Hkgkptci` ia prcvjtk gilpj`cks j`h ac`j`gcjf
c`stctutci`s ..............................................
728:>.2.1 Fkdjf tkrrircsl
.................................................................................................................
72;:>.2.4 Gikrgci` ia akhkrjf muhdks
...............................................................................................
72;
:>.2.2
Lj`cpufjtci`, fcgk`sc`d, j`h gikrgci` ia G^Js, ^jyriff gfkres,
Xjx ^rkpjrkrs, j`hFjwykrs
............................................................................................................................
721
:: Hkjfc`d wctb divkr`lk`t jvichj`gk ia gi`sk`t
.......................................................................
721
::.: K`airgc`d tbk rkqucrklk`t air gi`sk`t jdjc`st tbk
divkr`lk`t .......................................... 724::.:.:
Hkak`sks uskauf c` giurt ti lj`hjtk tbk rkqucrklk`t ia gi`sk`t
.................................... 724::.:.?
Biw ti secp iut ia divkr`lk`t gburgb wirsbcp
skrvcgks............................................ 722
::.:.7 Biw ti hkvkfip kvchk`gk ia tbk josk`gk ia gi`sk`t
.......................................................
73>::.:.8 Biw ti jrduk tbk rkqucrklk`t air gi`sk`t c` giurt
......................................................... 73:
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7/21/2019 Requirement for Consent, Form #05.003
5/421
_kqucrklk`t air Gi`sk`t ; ia 8??Gipyrcdbt Wivkrkcd`ty Khugjtci`
j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7, _kv.
4-?7-?>:7 KRBCOCX=YYYYYYYY
::.? [sc`d tbk [`cairl Gillkrgcjf Gihk ([.G.G.) ti Hkakjt
Jttklpts ti Gilpkf ^jrtcgcpjtci`c` Divkr`lk`t Arj`gbcsks
....................................................................................................
732::.?.: C`trihugtci` ti tbk [GG
..................................................................................................
732::.?.? Lkrgbj`t ir Ouykr9
.........................................................................................................
732::.?.7 Tby Hkac`ctci`s jrk Clpirtj`t
........................................................................................
8>>::.?.8
[GG privcsci`s uskauf c` hkakjtc`d arj`gbcsks
................................................................
8>7
::.?.; [sc`d hkac`ctci`s ti hkstriy ir rkpfjgk tbk divkr`lk`ts
iaakr....................................... 8>8
:?
J Orkjgb ia Gi`trjgt
..................................................................................................................
8>4
:7 _ksiurgks air Aurtbkr Wtuhy j`h _kouttjf
..............................................................................
8>3
:8 Zukstci`s tbjt _kjhkrs, Drj`h Murirs, j`h ^ktct Murirs Wbiufh
ok Jsec`d tbkDivkr`lk`t
.................................................................................................................................
8:>
YYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYY
FCWX IA XJOFKW
Xjofk := Gi`sk`t js tbk oiu`hjry oktwkk` ^[OFCG j`h ^_CQJXK js
wkff js HILKWXCG j`h AI_KCD@ ..................... ;?Xjofk ?=
Ocofcgjf v. Fkdjf usk ia tkrls wctbc` tbk Ocofk rkfjtc`d ti
hilcgcfk
.......................................................................
;8
Xjofk 7 Kqujfcty ia Ippirtu`cty v. Kqujfcty ia Iutgilk
......................................................................................................
2?
Xjofk 8= Fkdjf mustcgk v. Wigcjf/^ifctcgjf Mustcgk
..................................................................................................................
:>4
Xjofk ;= Gilpjrcsi` ia Dih wctb Wjtj`
.............................................................................................................................
::4Xjofk 1= Xbk tbrkk lktbihs air kxkrgcsc`d iur rcdbt ti
gi`trjgt..........................................................................................
:?2Xjofk 4= _ufks air Wivkrkcd` _kfjtci`s/Divkr`lk`t
..........................................................................................................
?>2Xjofk 2= ^uofcg v. ^rcvjtk/Wpkgcjf fjw
.................................................................................................................................
?7?Xjofk 3= Jppfcgjocfcty ia fjws ia [`ctkh Wtjtks ti vjrcius
murcshcgtci`s
.............................................................................
?72Xjofk :>= Kaakgt ia pjrtcgcpjtc`d c` arj`gbcsks upi` yiur
stjtus
.........................................................................................
?2:Xjofk ::= Gilpjrcsi` ia ^ifctcgjf _kfcdci` v. Gbrcstcj`cty
................................................................................................
7??Xjofk :?= Gilpjrcsi` ia trkjtlk`t ia wctgbks ti tbjt ia tjx
pritkstkrs
......................................................................
7;?
XJOFK IA J[XBI_CXCKW
Gi`stctutci`jf ^rivcsci`s
:>tb Jlk`hlk`t
..................................................................................................................................................................
8>3:7tb Jlk`hlk`t
..........................................................................................................................................................
:1:, :1?:7tb j`h :8tb Jlk`hlk`ts
..................................................................................................................................................
:1::8tb Jlk`hlk`t
..................................................................................................................................................................
:1?:8tb Jlk`hlk`t, Wkgtci` :
.................................................................................................................................................
:17:1tb Jlk`hlk`t Gi`drkssci`jf Hkojtks, Ajlcfy Dujrhcj` Akffiwsbcp
.............................................................................
7?13tb Jlk`hlk`t
....................................................................................................................................................................
8>3Jfjojlj Gi`stctutci` ia :3>:, Jrt. C, Wkgtci` :8
..........................................................................................................
4;, ??8Jrt. 8, 8
..................................................................................................................................................................
;>, ?2:, ?31Jrtcgfk :, Wkgtci` :>
.......................................................................................................................
;:, :?;, ??1, ?8;, 7;3, 727Jrtcgfk :, Wkgtci` ?, Gfjusk 7
...............................................................................................................................................
742Jrtcgfk :, Wkgtci` 4, Gfjusk :
...............................................................................................................................................
78;Jrtcgfk :, Wkgtci` 2
.................................................................................................................................................................
34Jrtcgfk :, Wkgtci` 2, Gfjusk :>
.............................................................................................................................................
:43Jrtcgfk :, Wkgtci` 2, Gfjusk :4
.....................................................................................................................
:21, 7:1, 772, 7;>Jrtcgfk :, Wkgtci` 2, Gfjusk 7
...............................................................................................................................................
?;:Jrtcgfk :, Wkgtci` 2, Gfjusks : j`h 7
....................................................................................................................................
78;Jrtcgfk :, Wkgtci` 3, Gfjusk 8
...............................................................................................................................................
742Jrtcgfk :, Wkgtci` 3, Gfjusk 2
.......................................................................................................................................
:;8, 77:Jrtcgfk :, Wkgtci` 3, Gfjusk 2 ia tbk Gi`stctutci`
................................................................................................................
?1:
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7/21/2019 Requirement for Consent, Form #05.003
6/421
_kqucrklk`t air Gi`sk`t 1 ia 8??Gipyrcdbt Wivkrkcd`ty Khugjtci`
j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7, _kv.
4-?7-?>:7 KRBCOCX=YYYYYYYY
Jrtcgfk :, Wkgtci`. :>
............................................................................................................................................................
?24Jrtcgfk C
........................................................................................................................................................................
:84, 8?>Jrtcgfk CCC
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:84, :14, ??>, ?87, 7>8, 783, 7;>Jrtcgfk CQ
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7;>Jrtcgfk CQ ia tbk Jrtcgfks ia Gi`akhkrjtci` (:444)
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:17Jrtcgfks ia Gi`akhkrjtci`
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81, 3>, :::, :;8, :21, ?1:, ?2:, 71;Ocff ia _cdbts ia :123
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717Gilpjgt Gfjusk
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718Hkgfjrjtci` ia C`hkpk`hk`gk .... 8;, 83, ;>, ;8, ;1, 38,
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78?Acatb Jlk`hlk`t
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83, ::>, :?;, :?4, ?7>, ?73, 784, 782, 712, 74;, 72;Acatb
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:?1, :;;, :27, :37, :31, ??1, 7:3, 7?3, 781, 784, 712, 713, 727,
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712Wcxtkk`tb Jlk`hlk`t
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7?1, 718, 71;Wcxtb Jlk`hlk`t
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7?2Xk`tb Jlk`hlk`t
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?31
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:??, :?8, ??;, ??1, ?73, 774, 727[.W.J. Gi`stctutci`
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?;:
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_kqucrklk`t air Gi`sk`t 4 ia 8??Gipyrcdbt Wivkrkcd`ty Khugjtci`
j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7, _kv.
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:72:2 [.W.G. 7
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741:2 [.W.G. 783:
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741:2 [.W.G. ;34
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:84:2 [.W.G. 3::
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:14:2 [.W.G. 3:?
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11
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7:>?1 [.W.G. 44>:(j)(3) j`h (j)(:>), 44>:(j)(73), j`h
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:14, ?73?1 [.W.G. 7?
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:1>, 7>:?1 [.W.G. 78>:(g)
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7>:, 77??1 [.W.G. 78>:(h)
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743, 72>?1 [.W.G. 81:?
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7?;
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j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7, _kv.
4-?7-?>:7 KRBCOCX=YYYYYYYY
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778?1 [.W.G. 1>?>(o)
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7:1, 744?1 [.W.G. 1>8:
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73?, 8:1?1 [.W.G. 1>1;
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74;, 8::, 8?7?1 [.W.G. 1:>3
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?23?1 [.W.G. 177:
...................................................................................................................................................................
72;?1 [.W.G. 177:(j)
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:;2, 7:7, 72;?1 [.W.G. 114:(o)
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7:7, 774
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7:8, 77;?1 [.W.G. 4?>:
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773, 78>?1 [.W.G. 4?>: tbriudb 4?:4
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783?1 [.W.G. 4?>7
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:8:, :81, ?73, 78>?1 [.W.G. 4?>1
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:8:?1 [.W.G. 4?>4
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:8:?1 [.W.G. 4787
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?73, 7:7, 774, 78>, 8>7?1 [.W.G. 48>2(h)
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?;1, ?48, 7>>, 7?:, 774, 772?1 [.W.G. 48?1
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8??, 8?7?1 [.W.G. 4878
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:84, 8?>?1 [.W.G. 483:
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?33, 77?, 777, 73:, 8>7, 8:;?1 [.W.G. 44>:(j)(7>)
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?;1, ?48, 7>>, 7?:, 774, 772?1 [.W.G. 44>:(j)(8)
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:42, ?;1, ?43, ?2:?1 [.W.G. 44>:(o)(:)(O)
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787
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:81, 721?2 [.W.G. :1>7
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773?2 [.W.G. :1>7
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?>1, ?34, 7>2, 772?2 [.W.G. :1>;(j)
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?;?
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j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7, _kv.
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:14, 7?4, 7;>, 738, 8?:?2 [.W.G. 7>>?(:;)(J)
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;7, 24, :84, ?72, ?33, 772, 78;8? [.W.G. :32:, :327, j`h
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?48, 8:38? [.W.G. :338
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?82, 734Akhkrjf Xirt Gfjcls Jgt, ?2 [.W.G. ?14:-?12>
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734Akhkrjf Xrjhk ]i`k Jgt, :378, :3 [.W.G. 2:j-2:u
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?2?Airkcd` Wivkrkcd` Cllu`ctcks Jgt (A.W.C.J.), ?2 [.W.G.
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734Airkcd` Wivkrkcd` Cllu`ctcks Jgt (A.W.C.J.), ?2 [.W.G. :1>;
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:14, ?;:, ?21, ?34, 733Airkcd` Wivkrkcd` Cllu`ctcks Jgt (A.W.C.J.),
?2 [.W.G. ^jrt CQ, Gbjptkr
34.....................................................................
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Khugjtci` j`h Hkak`sk Lc`cstry,bttp=//skhl.irdAirl >;.>>7,
_kv. 4-?7-?>:7 KRBCOCX=YYYYYYYY
Airkcd` Wivkrkcd` Cllu`ctcks Jgt ia :341
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788, 7;>, 74;, 741C._. Gihk
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7:;C._. Gihk Gbjptkr 4;
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78>C._.G. ;>:(g)(7)
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771C._.G. ia :3;8
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7:?C._.G. Wkgtci` ;>:(g)(7)
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:8;Cllcdrjtci` j`h @jtci`jfcty Jgt, Wkgtci` :>:(j)(??)
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?;7
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77>C`tkr`jf _kvk`uk Gihk ... ;7, :7>, :7?, :7;, :8?, :;>,
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?18, ?47,
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8>:
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7/21/2019 Requirement for Consent, Form #05.003
11/421
_kqucrklk`t air Gi`sk`t :: ia 8??Gipyrcdbt Wivkrkcd`ty Khugjtci`
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:?:
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7/21/2019 Requirement for Consent, Form #05.003
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_kqucrklk`t air Gi`sk`t :? ia 8??Gipyrcdbt Wivkrkcd`ty Khugjtci`
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