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Annual Closure Review

Document Number:  DVR-16489-E

Description:  This form is to be completed by DVR staff and consumers to conduct an annual review with consumers who are closed as unsuccessful working at sub-minimum wage for two years.

Comments:  Form is protected from modification and enabled for form fill (includes tabbed fields for form completion).

Content Contact:  DVR Forms

Document Attachment:  DVR-16489-E (Electronic Version - Word/34 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.