They are also useful for those who are not proficient in graphic design, as they eliminate the need to start from scratch or hire a professional designer. 1-888-764-7586, ? Share sensitive information only on official, secure websites. Official websites use .gov Now it is possible to print, download, or share the document. Hawaii Level of Care Forms and Resources. Call 1-888-764-7586 to tell us which language you speak. Te mau malava 'o 'oatu ha fakatonulea ta'etotongi. Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. Citizenship and Immigration Services. Parents will receive detailed information about these requirements during the application process. For technical support, visit https://medquest.hawaii.gov/support. Plan to set aside. The US Government Forms are not just for the government. Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. For more information click on any of the following: The Child Care Connection Hawaii (CCCH) and the Preschool Open Doors (POD) subsidy programs use a sliding fee scale for families meeting the income eligibility requirements. or https:// means youve safely connected to the .gov website. DHS 1178 (Rev. Nosotros le ayudaremos a conseguir un intrprete gratuito. The DHS 1157 page 1, the Mental States page 2, and the Functional Scales page 3, should be signed by the applicant/recipient's treating psychiatrist or psychologist. Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? You can also call toll free 1-877-DHS-5678 to find out where your local Iowa Department of Human Services office is located.Call 800-532-1275.Pandemic Electronic Benefits Transfer (P. Eligible absences are determined: Spring 2020 March 16,. Department of Human Services! It is your responsibility to promptly check your MyBenefits Account after receipt of an email notification. ? Do you need help in another language? Public Assistance Information Line 1-855-643-1643. . An official website of the United States government. Official websites use .gov Matou te fesosoani e ave atu fua se faaliliu upu mo oe. Appelez le 1-888-764-7586 pour nous indiquer quelle langue vous parlez. Whether for personal or business use, they provide a cost-effective and convenient option for those who need to create and print multiple copies of similar documents. Appelez le 1-888-764-7586 pour nous indiquer quelle langue vous parlez. Once you enroll in Paperless Delivery you will set up a MyBenefits Account and provide a valid email address. DHS 1100B-2 Medical Assistance Renewal Form for MAGI-Excepted Households Form (Rev. Stick to these simple steps to get Dhs 1297 completely ready for sending: Select the form you require in the library of templates. , 1-888-764-7586, . DHS 961 Instructions for Criminal Check. More P-EBT funds are being issued for the 2021-22 school year and will be available this summer. Once you terminate Paperless Delivery enrollment you will not receive email notifications. The Hawaii Interagency Council on Homelessness (HICH) is an advisory body that serves as a statewide homelessness planning and policy development entity with broad representation from State and County government and the community. For POD, there is a time-limited application period established and published each year. They are typically nonprofit entities, and many of them are active in humanitarianism or the social sciences; they can also include clubs and associations that provide services to their members and others. all children in your household are eligible for free school To update your email account, click the Update email button. E te mana'o mia se fesosoani i se isi gagana? Family Child Care Home Registration Forms Finding a Child Care Provider or Program Training and Scholarships for Child Care Providers DHS Early Childhood Registry Statewide Child Care Licensing Units Aggregate Data for Hawai'i Child Fatalities, Serious Injury, and Substantiated Abuse in Regulated Child Care Amo kang mahatagan ug libre nga maghuhubad. Parents may choose between: licensed or license-exempt center-based care, a licensed or licensed-exempt family child care home, or care by relatives (not including the childs siblings, caretakers, or parents residing in the home). Secure .gov websites use HTTPS Makemake la maua i ki`i `oe mea unuhi manuahi. The Wahiawa Civic Center will be undergoing renovations. Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? Kokori 1-888-764-7586 omw kopwe ureni kich meni kapas ka ani. Our staff are processing all applications as quickly as possible. Need Assistance? Call 1-888-764-7586 to tell us which language you speak. Scroll to top Forms View frequently asked questions Tawag sa 1-888-764-7586 aron magpahibalo kung unsa ang imong sinulti-han. Department of Human Services > Find a Document > Forms. Application Forms and Instructions for Before & After School Child Care Facility (BAS), Group Child Care Center (GCC), Group Child Care Home (GCH), and Infant & Toddler Child Care Center (IT): DHS 948 Authorization for Background Check and to Release Information (fillable .pdf) DHS 948A Instructions Learn more Get This Form Now! Once enrolled in Paperless Delivery, you will no longer receive paper documents or notifications pertaining to your application or benefits through physical mail. They are used in all various kinds of industries and organizations. STATE OF HAWAII DEPARTMENT OF HUMAN SERVICES BENEFIT, EMPLOYMENT AND SUPPORT SERVICES DIVISION Financial Assistance / SNAP Application APPLY NOW Start a new application for SNAP or financial assistance Do not use if you are renewing benefits. Follow the simple instructions below: The preparation of lawful papers can be costly and time-ingesting. Llame al 1-888-764-7586 y diganos que idioma habla. Appelez le 1-888-764-7586 pour nous indiquer quelle langue vous parlez. Ikukuha namin kayo ng libreng tagasalin. Wir koennen Ihnen gern einen kostenlosen Dolmetscher besorgen. They are often utilized for things like requesting passports, visas, or social security numbers. Printable templates are pre-designed documents or forms that can be easily printed and filled out by hand. Licensing & Providers. Looking for U.S. government information and services? The Department of Human Services began issuing new P-EBT cards to all known eligible students in March 2021. Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. DHS 1100B Supplemental Form for Applying for Coverage Other than MAGI & or LTC Instructions (Rev. Ikukuha namin kayo ng libreng tagasalin. Fill out the application as completely as possible. 8728 (Medicaid) for Eligibility, Benefits, Claims, & Provider Inquiries. Click the links below to access and print the most-current evaluation forms and instructions approved by the Med-QUEST Division: DHS/MQD Form 1147 (Revised 1/1/21) DHS/MQD Form 1147 Instructions (Revised 1/1/2021) DHS/MQD Form 1147a (Revised 1/1/2021) PASRR Applicable DSM-III-R Diagnoses. Tawag sa 1-888-764-7586 aron magpahibalo kung unsa ang imong sinulti-han, SNAP Eligibility Requirements Reinstated Starting June/July 2022 click herefor more information, SS and/or SSI INCREASE QUESTIONS click here, SNAP APPLICATION /SNAP RECERTIFICATION SUBMISSIONFood Assistance Status click here, IMPORTANT PUBLIC INFORMATION KALAMAPII PLAY SCHOOL click here (October 20, 2022). Sipwe angei emon chon chiaku ngonuk ese kamo. Continue your application, view your application status, eligibility details, notices, request changes to your household, and update your account settings. Kokori 1-888-764-7586 omw kopwe ureni kich meni kapas ka ani. A lock Free DHS 908 Form Hawaii Online A United States federal government form is a file that is submitted to request or offer info from the US Government. . Information about PEBT 2021/ 2022. Ikkandakayo iti libre nga paraipatarus. What are the Eligibility Requirements for Child Care Subsidies? Commonly Used Forms. DHS 959 Employment History Form. En mi niit alilis lon pwal eu kapas? Necesita ayuda en otro idioma? (LockA locked padlock) akinahanglan ka ba ug tabang sa imong pinulongan? The DHS 908 or comparable writing (document) shall be used to comply with the requirement listed in #2. preview HMSA's Online Care. E te mana'o mia se fesosoani i se isi gagana? Looking for U.S. government information and services? Your 2-Step Verification preference has been reset. E kelepona 1-888-764-7586 `oe ia la kaua a e ha`ina `oe ia la maua mea `olelo o na `aina `e. Masapulyo kadi ti tulong iti sabali a pagsasao? Distribution: Original to Employer; Copy . Call 1-888-764-7586 to tell us which language you speak. Avez-vous besoin d'aide dans une autre langue? Nosotros le ayudaremos a conseguir un intrprete gratuito. Please read the following Terms and Conditions carefully. Sipwe angei emon chon chiaku ngonuk ese kamo. Avez-vous besoin d'aide dans une autre langue? Nosotros le ayudaremos a conseguir un intrprete gratuito. An official website of the United States government. (LockA locked padlock) Nous pouvons vous fournir gratuitement des services d'un interprte. Telefoni ki he 1-888-764-7586 'o fakaha mai pe koe ha 'ae lea fakafonua 'oku ke ngaue'aki. Fill State Of Hawaii Dhs Forms, Edit online. However, with our predesigned web templates, everything gets simpler. ? Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. Version Form Popularity Fillable & printable; . We will get you a free interpreter. Terms & Conditions: Switch to Paperless Document Delivery. Telefoni ki he 1-888-764-7586 'o fakaha mai pe koe ha 'ae lea fakafonua 'oku ke ngaue'aki. You can save your progress and return to it later. How to fill out and sign hawaii dhs forms online? All child care providers, even if they are not licensed by DHS, need to have child abuse/neglect, adult perpetrator, and criminal history background checks completed in order to receive a DHS child care subsidy payment. Families will receive more information about these options during the intake interview. Once completed you can sign your fillable form or send for signing. Early Childhood Education; Human Services; Liberal Arts & Transfers. USA.gov provides citizens and businesses with a common access point to federal agency forms. COMPLETE PART C (page 2) of this form. The DHS 908 may be downloaded from the DHS Child Care Connection Hawaii website, http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/. E kelepona 1-888-764-7586 `oe ia la kaua a e ha`ina `oe ia la maua mea `olelo o na `aina `e. Masapulyo kadi ti tulong iti sabali a pagsasao? Kokori 1-888-764-7586 omw kopwe ureni kich meni kapas ka ani. Chng ti se yu cu mt ngi thng dch vin min ph cho bn. Tawag sa 1-888-764-7586 aron magpahibalo kung unsa ang imong sinulti-han. Google Chrome and Mozilla Firefox. Do you need help in another language? Breakfast and Lunch Program. Find out more. If you have any questions or concerns, please contact our Student Services Office . Enter your official identification and contact details. During the interview, parents are asked to choose a child care provider and are issued a Child Care Certificate and Provider Confirmation Form to be completed by the chosen provider. Each family has different child care needs and preferences. Sipwe angei emon chon chiaku ngonuk ese kamo. Learn About Law Enforcement Training Opportunities, Provide Feedback or Make Complaints to DHS, This page was not helpful because the content, Application to Replace Permanent Resident Card, DHS Traveler Redress Inquiry Program (DHS TRIP), Passport Application Forms, U.S. Department of State, Automated Clearinghouse Credit Enrollment, Declaration for Free Entry of Unaccompanied Articles, Certificate of Registration for Personal Effects Taken Abroad, National Emergency Training Center General Admissions Application, National Emergency Training Center General Admissions Short Form Application, Federal Emergency Management Administration, Federal Emergency Management Administration (Flood hazard), U.S. Avez-vous besoin d'aide dans une autre langue? State of Hawaii Department of Human Services For information about DHS Benefit, Employment and Support Services Division (BESSD) including SNAP and Financial Assistance, please visit: State of Hawaii Department of Human Services, Benefit, Employment and Support Services Division Website Acting Secretary Leigh M. Chapman's Twitter. , 1-888-764-7586, . fines, imprisonment, and removal from the program. Please try again later. Sipwe angei emon chon chiaku ngonuk ese kamo. Note: When you enroll in paperless delivery, you will no longer receive paper documents in the mail. 01/2021) DO NOT MODIFY FORM Page 3 of 3 Kim naj lewaj juon am dri ukok eo ejjelok wonen. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly. The DHS 8015 and 8016 have been converted to one (1) fillable PDF. Awaganyo ti 1-888-764-7586 tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo. Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? The way to complete the Dd 1252 form hawaii pdf on the web: To start the form, utilize the Fill camp; Sign Online button or tick the preview image of the document. Hmsa Provider Application Form. Most Requested Forms There are various types of forms that the federal government utilizes to gather information from residents, one example is DHS 1147 Form Hawaii A few of these forms are utilized for tax purposes, others for migration purposes, and some to provide basic details about a person. Copyright 2023, State of Hawaii. Application Forms and Instructions for Before & After School Child Care Facility (BAS), Group Child Care Center (GCC), Group Child Care Home (GCH), and Infant & Toddler Child Care Center (IT): DHS 948 Authorization for Background Check and to Release Information (fillable .pdf), DHS 948B Non-Criminal Justice Applicant Privacy Rights, DHS 951 Application for License to Operate a Group Child Care Center or Group Child Care Home, DHS 954 Child Care Center Staff and Volunteer Listing, DHS 958 Instructions for Employment History Clearance, DHS 959A Self-Certification of Employment, DHS 961A Instructions for Background Checks Oahu, DHS 961D Instructions for Background Checks Neighbor Island, DHS 962 Synopsis of Criminal History Law Requirements, DHS 969 Child Care Licensing Self-Certification Form, DOE Form 14 Childs Health Record (or comparable documentation), DHS 908 Early Childhood Pre-K Health Record Supplement (rev 9/15) (required for entry into the GCC, GCH, and IT), DHS 908A Instructions for DHS 908_(rev 9/15), DHS 950 Guide for GCC, GCH, BAS, IT Licensing, DHS 970 Reference Guide for Preschool Staff Qualifications, DHS 971 Reference Guide for Infant/Toddler Staff Qualifications, DHS 972 Reference Guide for Before/After School Care Staff Qualifications, DHS 974 A Notification of Change(s) Form (BAS, GCC, GCH, IT), DHS 975 Request to Increase or Determine License Capacity and Agreement, DHS 984B Instructions for the Medical Report Form, DHS 951 Application for License to Operate a, DHS 974 A Notification of Change(s) Form (. A lock , 1-888-764-7586, . com is a Health website created by Hawaii Medical Service Association. Once you enroll in Paperless Delivery, it is your responsibility to provide us with a valid email and inform us of any changes to your e-mail address. En mi niit alilis lon pwal eu kapas? Provider Enrollment Form DHS 1139 (REV 07/20 INTERIM) Page 1 of 55 . DHS Operational Components offer a fuller selection of online forms to the public: An official website of the U.S. Department of Homeland Security. State Commission on Fatherhood promotes healthy family relationships between parents and children. Kwoj aikuij ke jiban kin juon bar kajin? Tawag sa 1-888-764-7586 aron magpahibalo kung unsa ang imong sinulti-han. 808-832-1999 or (toll free) 1-888-398-1188, Adult Abuse or Neglect Reporting Hotline Asian Studies; Communication; Hawaiian Studies; Liberal Arts; Marine Option Program; Natural Sciences; . Psychiatric Evaluation Part II Serious Mental Illness (SMI) Criteria. Citizenship and Immigration . General Forms and Documents DMS-7734 - Nursing Homes | Incident and Accident Next Day Reporting Form DOC 07/30/2012 DMS-762 Completion Guidance Tool PDF 04/13/2015 DMS-742 - Assisted Living | Incident Investigation Form DOC 04/03/2019 Continuing Education (CEU) Workshop Approval | CEU Review Checklist DOC 04/03/2019 DHS-9571 - Options Counseling Form DOC 04/03/2019 DHS-9571 - Options [] En mi niit alilis lon pwal eu kapas? It only takes a couple of minutes. This means we have received your application. Matou te fesosoani e ave atu fua se faaliliu upu mo oe. They are often utilized for things like requesting passports, visas, or social security numbers. Unable to process your username request. 'Oku ke fiema'u tokoni 'iha lea makehe? Matou te fesosoani e ave atu fua se faaliliu upu mo oe. Create a user account in order to start and submit an application. You will be prompted to reset your 2-Step Verification preferences upon your next login attempt. Hawaii DHS Form 1147 - A form template is an excellent way to produce a precise and expert looking form with very little effort, just by filling in the blanks according to your needs and printing the document.. Free Hawaii DHS Form 1147 Online. Ikkandakayo iti libre nga paraipatarus. Chng ti se yu cu mt ngi thng dch vin min ph cho bn. Dhs 908 Fill Online Printable Fillable Blank PdfFiller Free DHS 1240 Form Hawaii Online A United States government form is a document that is filled out to request or provide details from the US Government. Child Care Connections Hawaii Offices The Application Process: You may call or visit your nearest CHILD CARE CONNECTION HAWAII (CCCH) office to request an application or down load a copy (see link below). Wir koennen Ihnen gern einen kostenlosen Dolmetscher besorgen. If you wish to change the mailing address please click this link. Sipwe angei emon chon chiaku ngonuk ese kamo. It is also your responsibility to keep your email address active and capable of receiving new emails. Tumawag sa 1-888-764-7586 para sabihin kung anong lengguwahe ang nais ninyong gamitin. 'Oku ke fiema'u tokoni 'iha lea makehe? Any documents or notifications sent after disenrollment will be mailed to your physical address that we have on file for your account. Report Fraud & Abuse. 1-888-764-7586 , , 1-888-764-7586, . E kelepona 1-888-764-7586 `oe ia la kaua a e ha`ina `oe ia la maua mea `olelo o na `aina `e. Masapulyo kadi ti tulong iti sabali a pagsasao? Te mau malava 'o 'oatu ha fakatonulea ta'etotongi. Necesita ayuda en otro idioma? Kim naj lewaj juon am dri ukok eo ejjelok wonen. Please allow DHS 15 business days to contact you for your interview. (1-888-764-7586) . Below you will find links to all of the forms created and maintained by the Department of Human Resources Development: Copyright 2023, State of Hawaii. Our Mission: To encourage self-sufficiency and support the well-being of individuals, families, and communities in Hawai'i. Print the completed application and mail, fax or drop off the completed application to the Med-QUEST Division Eligibility Office nearest your home address. To be used by Departments when seeking approval for an employee to attend training sponsored by DHRD. Copyright 2023, State of Hawaii. Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? If printing forms, BOTH pages of the 8015 or 8016 must be printed and mailed with the CMS 1500 attached. Sign up Already Have an Account? You will be notified by mail of your application status. Do you need help in another language? (1-888-764-7586) . 'Oku ke fiema'u tokoni 'iha lea makehe? Change of residence. DHS Form 204 Form Instructions Prior Authorization Request For Air Transportation, Lodging, Meals And Ground Transportation (DHS Form 208) DHS Form 208 Form Instructions Authorization to Disclose Confidential Information BY The Med-QUEST Division (DHS 1123) DHS 1123 Form Instructions To have the best web browsing The subsidy may not cover the full cost of care, thus families may be required to pay for some of the child care costs. Awaganyo ti 1-888-764-7586 tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo. Amo kang mahatagan ug libre nga maghuhubad. You must ensure that your email account has sufficient space for new emails and that your email server and spam-blocking software do not block our emails. Brauchen Sie Hilfe in einer andereren Sprache? Telefoni ki he 1-888-764-7586 'o fakaha mai pe koe ha 'ae lea fakafonua 'oku ke ngaue'aki. Tumawag sa 1-888-764-7586 para sabihin kung anong lengguwahe ang nais ninyong gamitin. When you submit your application, you will receive a receipt with your application tracking number. For Group Child Care Center (GCC), Group Child Care Home (GCH), Infant & Toddler Child Care Center (IT), and Before & After School Child Care Facilities (BAS) Applicants: For Family Child Care Home (FCC) Applicants: Copyright 2023, State of Hawaii. Requirements for obtaining the background and criminal history clearances are explained at the time of the interview. website: https://humanservices.hawaii.gov/bessd/, Start a new application for SNAP or financial assistance, Start an application for your annual or semi-annual review, Upload documents for a submitted application. Nous pouvons vous fournir gratuitement des services d'un interprte. The subsidy amount varies based on the familys gross monthly income, family size, type and cost of care, and, for CCCH only, the hours of the caretakers work activity. What are the Eligibility Requirements for Child Care Subsidy? Call 1-888-764-7586 to tell us which language you speak. DHS will only approve payments for legal child care arrangements when the selected child care provider does not have a child abuse or adult perpetrator background or a criminal history that indicates the provider, adult household members, or staff, might pose a risk of harm to children. Gi 1-888-764-7586 ni cho chng ti bit bn dng ngn ng no. . Applications for child care services are accepted statewide, year-round, except for the Preschool Open Doors (POD) program which has a limited Open Enrollment period during the spring. Receive your documents and notices online by enrolling in paperless document delivery. akinahanglan ka ba ug tabang sa imong pinulongan? Information about TANF and other programs available under the A .gov website belongs to an official government organization in the United States. The Child Care Connection Hawaii (CCCH) subsidy program helps low-income families to sustain their employment, educational efforts and job training by paying a subsidy for their children who are in the care of DHS-approved child care providers. Find a collection of the most popular forms across DHS: Immigration Forms, Travel Forms, Customs Forms, Training Forms, Additional Resources. Gi 1-888-764-7586 ni cho chng ti bit bn dng ngn ng no. We will get you a free interpreter. State of Hawaii - Form DHS 1179A Change of Circumstance Report Form On average this form takes 27 minutes to complete The Departments Child Care Licensing Units monitor compliance with the child care law and the administrative rules and provides consultation and technical assistance to child care providers. Form. Llame al 1-888-764-7586 y diganos que idioma habla. (2/03). Show details How it works Open the dhs 1266 and follow the instructions Easily sign the state of hawaii dhs forms with your finger Send filled & signed form 1266 dhs or save Rate the form 1266 4.7 Satisfied Ikukuha namin kayo ng libreng tagasalin. Wir koennen Ihnen gern einen kostenlosen Dolmetscher besorgen. I understand that I must tell the Department of Human Services if anything changes (and is different than) from what I wrote on the application or this supplemental form and can visit www.mybenefits.hawaii.gov or call toll free 1 -800-316-8005 to report any changes. Necesita ayuda en otro idioma? If all of the answers in Parts A or B are NO, SIGN and DATE BELOW: LEVEL I SCREEN IS NEGATIVE FOR SMI OR ID/DD DATE AND TIME COMPLETED: THE PATIENT MAY BE ADMITTED TO THE NF: . Child Abuse or Neglect Reporting Hotline 808-832-5300 or (toll free) 1-888-380-3088 Child Trafficking Reporting Hotline The Med-QUEST Division helps low-income adults and children obtain health coverage through managed care plans click here for more information. State of Hawaii Department of Human Services. For families with children under the age of 13 years, the CCCH program provides subsidies to help pay for a variety of legal child care settings including: care provided in the childs home, care by relatives or friends in their home, before and after school programs, and preschools. Te mau malava 'o 'oatu ha fakatonulea ta'etotongi. Appelez le 1-888-764-7586 pour nous indiquer quelle langue vous parlez. You may call or visit your nearest CHILD CARE CONNECTION HAWAII (CCCH) office to request an application or down load a copy (see link below). Amo kang mahatagan ug libre nga maghuhubad. Find out more. ? Llame al 1-888-764-7586 y diganos que idioma habla. Vili mai i le numera lea 1-888-764-7586 pea e mana'o mia se fesosoani mo se faaliliu upu. Ikkandakayo iti libre nga paraipatarus. Office of Youth Services provides and coordinates a continuum of services and programs for at-risk youth to prevent delinquency and reduce the incidence of recidivism. Copyright 2023, State of Hawaii. CCCH program also provides families with: guidance in selecting a child care provider; information about quality child care programs; and referrals to community resources for help with other concerns. Drop off was really simple. Find out more. Vili mai i le numera lea 1-888-764-7586 pea e mana'o mia se fesosoani mo se faaliliu upu. The program has a time-limited application period established and published each year. Citizenship and Immigration Services. Printable templates offer a convenient and cost-effective solution for individuals and businesses who need to produce a high volume of similar documents. Makemake la maua i ki`i `oe mea unuhi manuahi. State of Hawaii, Department of Human Services. Brauchen Sie Hilfe in einer andereren Sprache? Kwoj aikuij ke jiban kin juon bar kajin? COVID-19. Fill & Sign Online, Print, Email, Fax, or Download Get Form Form Popularity hawaii 1139 dhs form Get Form eSign Fax Email Add Annotation Share Dhs 1139 Form is not the form you're looking for?

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