ࡱ>  @ @ybjbj "0000000D'''8-ooD Np',,,,-6./`pJ"M"M"M"M"M"M$}ORQFM01--11FM00,,M44410,0,pJ41pJ446Ch00rD,p P+';1(C EdM0 NCRc1dR rDDD0000R0D/>-0,4Y0$}0///FMFMDD 4DDMICHIGAN CHILD CARE AND EDUCATION PROFESSIONAL DEVELOPMENT RECORDMichigan Department of Human ServicesBureau of Children and Adult LicensingUse this form to record training experiences including, but not limited to, workshops, community-based training, college courses, conferences.To comply with Michigan Child Care Licensing Rules for Family/Group Child Care Homes all caregivers must complete a total of 10 clock hours of training annually, not including CPR, first aid and blood-borne pathogen training. Assistant Caregivers must complete a total of 5 clock hours of training annually, not including CPR, first aid and blood-borne pathogen training .To comply with Michigan Child Care Licensing Rules for Child Care Centers all caregivers and program directors must complete a total of 12 clock hours of training annually, not including CPR, first aid and blood-borne pathogen training.Training must be accrued annually, beginning with the registration/license effective date and ending 12 months from that date. Verification of participation of required training is to be kept on file by the provider for Department review.Refer to Michigan Child Care Licensing Rules for a list of topics and trainings that meet training requirements. Rules can be found at  HYPERLINK "http://www.michigan.gov/michildcare" www.michigan.gov/michildcare.1 clock hour of training = 60 minutes. Record the actual number of training hours not including breaks, lunches or travel.Caregivers/Assistant Caregivers NameDate of HireMichigan Early Childhood Professionals Core Knowledge Areas: FORMTEXT       FORMTEXT      1 = Child Development and Learning5 = Teaching and LearningRegistration/License Number2 = Health, Safety and Nutrition6 = Observation, Documentation and Assessment FORMTEXT      3 = Family and Community Collaboration7 = Interactions and Guidance4 = Program Management8 = ProfessionalismTraining Dates Beginning/ EndingTitle of TrainingTraining Organization/PresenterCore Knowledge Area(s)# of Clock HoursTraining Certificate ReceivedIf applicable, list # of CEU or College Credits earned# of CEUs Earned# of College Credits Earned FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXAC] z  6 C $ 2 a Y x   3 4 5 Q R S U XZÿjHh-84Ujh;UmHnHujh-84Ujh-84Uh-84CJOJQJh-84hRh4hF hkt0Jjh4UjhktUh#hQ hkt5h35KhVhkt5BCijsj $Ifgdkt<kdS$$Ifl49::4 laf4 $Ifgd35K<kd$$Ifl49::4 laf4 $Ifgdktvyy# $ % v9<kdL$$Ifl49::4 laf4 $Ifgd>s)<kd$$Ifl49::4 laf4$If<kd$$Ifl49::4 laf4% & oY & F hh$If^hgd-84<kd$$Ifl49::4 laf4 & F hh$If^hgd-84<kd$$Ifl49::4 laf4 y z T U o2<kd$$Ifl4 9::4 laf4<kd$$Ifl49::4 laf4 & F hh$If^hgd-84<kdK$$Ifl49::4 laf4U i`TK $Ifgdq. $$Ifa$gdq4d $Ifgdq4d<kd\$$Ifl49::4 laf4$If<kd$$Ifl4 9::4 laf4 & F hh$If^hgd-84$XwkbYY $Ifgd3 $Ifgdq. $$Ifa$gdq4d $Ifgdq4dukd$$Ifl4\ 9Z :4 laf4 $IfgdHXZ2vmd[[ $Ifgd3 $Ifgdq. $Ifgd$*kd$$Ifl4r k*9Z Y=:4 laf4Z246JLNXZDF $RTVjlnxz|~ûͻͻͻͻjh-84Uj+h-84Ujh-84UjCh-84Ujh-84U h-84CJhQjh;UmHnHujh$*Ujh$*Uh-84CJOJQJh-84h$*824\^wnn $Ifgd3 $Ifgdq. $Ifgd$*ukd$$Ifl4\k*9pY=:4 laf4Dwnn $Ifgd3 $Ifgdq. $Ifgdq.ukd` $$Ifl4\k*9pY=:4 laf4DFHJF::: $$Ifa$gdq.<kdf $$Ifl49::4 laf4$IfukdG $$Ifl4\k*9pY=:4 laf4@|D; $Ifgd2.kd $$Ifl4֞FR&|)v/9N \ b*2 :4 laf4 $$Ifa$gdq.R $$Ifa$gdq. $Ifgd2.RT|=4444 $Ifgd.kd $$Ifl4ִFR&|)v/b49  N  \  b * F:    4 laf4  246@BDFZ\^hjln  $&(jBh-84Ujh-84UjZh-84Ujh-84U h-84CJjoh-84Ujh-84Ujh-84Ujh;UmHnHujh-84Ujh-84Uh-845Dl4kd$$Ifl43ִFR&|)v/b49N \ b*F:    4 laf4 $Ifgd.6^ $Ifgd.(2468LNPZ\^`tvx$&(*>@BLNPRfjqh-84Ujh-84Ujh-84U h-84CJjh-84Ujh-84Uj*h-84Ujh-84Uh-84jh-84Ujh;UmHnHu7(Px=4444 $Ifgd.kd$$Ifl43ִFR&|)v/b49N \ b*F:    4 laf4fhjtvxz 024>@BDXZ\fhjlڹڮڨڝڒڇjh-84Ujh-84Uj,h-84U h-84CJjh-84UjAh-84Ujh-84UjYh-84Uh-84jh;UmHnHujh-84Ujh-84U5x4kd+$$Ifl43ִFR&|)v/b49N \ b*F:    4 laf4 $Ifgd.Bj 2Z $Ifgd.   "$.024HJLVXZ\^rtvjC!h-84Uj h-84U h-84CJjXh-84Ujh-84Ujph-84Ujh-84Ujh;UmHnHujh-84Uh-84jh-84U6Z\=4444 $Ifgd.kd$$Ifl43ִFR&|)v/b49N \ b*F:    4 laf4 "$&:<>HJLNbdfprtvڹڮڣڝڒڇj%h-84Ujr%h-84U h-84CJj#h-84Uj#h-84Uj#h-84Uj"h-84Uj+"h-84Uh-84jh;UmHnHujh-84Uj!h-84U5$Lt4kdq$$$Ifl43ִFR&|)v/b49N \ b*F:    4 laf4 $Ifgd.X>XfXXXX $Ifgd.XXXXXXXX,X.X0X:XX@XTXVXXXbXdXfXhX|X~XXXXXXXXXXXXXXXXXXXXYYY󛓉jh;UhLh-845CJhLh-845 h-84CJj(h-84Uj*(h-84Uj'h-84UjB'h-84Uj&h-84Ujh;UmHnHujZ&h-84UUh-84jh-84U2T       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Training DateTitle of TrainingCard ReceivedTraining Organization/PresenterLocation FORMTEXT      First Aid FORMCHECKBOX   FORMCHECKBOX Yes No FORMTEXT       FORMTEXT       FORMTEXT      Infant & Child CPR FORMCHECKBOX   FORMCHECKBOX Yes No FORMTEXT       FORMTEXT       FORMTEXT      Adult CPR FORMCHECKBOX   FORMCHECKBOX Yes No FORMTEXT       FORMTEXT       FORMTEXT      Blood-borne Pathogen FORMTEXT       FORMTEXT      Caregiver s SignatureDate FORMTEXT      Sign and date to certify training record for BCAL, Division of Child Care LicenXXX Ys) d8$Ifgd;tZZZZ [[[@[h[ $Ifgd>s) d8$Ifgd;$d8$Ifa$gd; $IfgdL $IfgdL.[0[2[<[>[@[B[V[X[Z[d[f[h[j[l[[[[[[[[[[[[[[[[[[\\\ \"\$\&\:\<\>\H\J\N\P\d\f\h\ڿڴکڞړڋ|j5h-84Uh-84jh-84Uj3h;Uj3h;Uj 3h;Uj2h;Uj"2h;U h;5jX0h;Uh;jh;UmHnHujh;Uj/h;U0h[j[[[[[NE<--$d8$Ifa$gd; $IfgdL $IfgdLkd0$$Ifl4ֈFV|)9N x,:4 laf4p([[[$\L\N\0kdl4$$Ifl4ֈFV|)9N x,:4 laf4p( $IfgdL $Ifgd>s) d8$Ifgd;h\r\t\\\\\\\\\\\\\\\\\\\(]4]6]J]L]N]X]Z]\]^]^v v vpyrytyvyyyyƾƕ~zv~njh4XQUhj hmh>s) h-84CJh35Kh-84@OJQJ h35Kh-84@OJQJ^JaJUh-845CJOJQJj8h-84Uh9Ch-845h-84CJOJQJj6h-84Uj66h-84Uh-84jh-84Ujh;UmHnHu*N\v\\\\\\6kd7$$Ifl4 rF|)9N px, :4 laf4p $IfgdH $IfgdL $IfgdL\\\\\(]*]4]\]zneYe $$Ifa$gdQ $Ifgd-84 $$Ifa$gd-84skd 8$$Ifl4pFF9N (:    4 laf4p $IfgdH $IfgdH\]^]`]b] vwn $Ifgd9C $IfgdL $IfgdLukd>9$$Ifl4\L,29pH:4 laf4singDepartment of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. 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"goduPle1G$goxux1Ck2MbT"\*TxG'*{.xMEx @`Enter Personal InformationNormal.MyInfo.Main@ SyPsoP doP"wVP$siP&P(P*P,P.P0P2P4P6P8P:P<@`P>`0P@PB@@`P  " (08@HPX`hpx &((0*X&(&&((&P$x&$$&$@&h&(N$0$X&&*$"(0PT$$(H hx <468H6864(6`846 4@ 2x 2 4 2 4X : : 2 H ` & 4 6 8 6P 8 6 4 60 8h 4 6 42H2424(:`: "0284p2420P2402 0X..0.0H6x6 ":>PB>F2`:>66P.2::02p62BF` 4 2 & (@ *h .  2 4 X ` p ]x]]]]]]] ]8]P]h]]]]]]]](]@DEFINE DIALOG BOXF,MyInfo DB@Fm ^YourName DB@Hm8^ YourTitle DB@HmP^ YourOffice DB@Hmi^ YourAddress DB@H2xYourCity DB@HT( YourState DB@HFYourZip DB@Hn(AreaCode DB@HP YourPhone DB@H<YourExt DB@Hr(FAXAC DB@HPYourFax DB@H(YourCO DB@H(YourDI DB@H(YourSEC DB@HT(YourUN DB@H(YourWKR DB@Hm^BossName DB@Hm^ BossTitle DB@Hk  /Enter the following information about yourself. DB@d#2 Name: DB@d;2 Title: DB@dR< Office: DB@dkU Address: DB@d City-ST-Zip: DB@d7 Phone: DB@d>% FAX: DB@dCO-DI-SEC-UN-WKR: DB@dK 6Enter the following information about your supervisor. 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MYINFO.ini DB@tUserInfoPhone P!\ MYINFO.ini DB@tUserInfoYourExt P!& MYINFO.ini DB@tUserInfoFaxAC P!( MYINFO.ini DB@tUserInfoFax P!* MYINFO.ini DB@tUserInfoOffice P!^ MYINFO.ini DB@tUserInfoAddress P!` MYINFO.ini DB@tUserInfoCity P!b MYINFO.ini DB@tUserInfoState P!d MYINFO.ini DB@tUserInfoZip P!f MYINFO.ini DB@tUserInfoCO P!h MYINFO.ini DB@tUserInfoDI P!j MYINFO.ini DB@tUserInfoSEC P!l MYINFO.ini DB@tUserInfoUN P!n MYINFO.ini DB@tUserInfoWKR P!p MYINFO.ini DB@tUserInfo Boss Name P!@ MYINFO.ini DB@tUserInfo Boss Title P!B MYINFO.ini DB@tGet user info from INI fileUserInfoName MYINFO.ini D%X' UserInfoTitle MYINFO.ini D%X' UserInfoAreaCode MYINFO.ini D%X' "UserInfoPhone MYINFO.ini D%X' $UserInfoYourExt MYINFO.ini D%X' &UserInfoFaxAC MYINFO.ini D%X' (UserInfoFax MYINFO.ini D%X' *UserInfoOffice MYINFO.ini D%X' ,UserInfoAddress MYINFO.ini D%X' .UserInfoCity MYINFO.ini D%X' 0UserInfoState MYINFO.ini D%X' 2UserInfoZip MYINFO.ini D%X' 4UserInfoCO MYINFO.ini D%X' 6UserInfoDI MYINFO.ini D%X' 8UserInfoSEC MYINFO.ini D%X' :UserInfoUN MYINFO.ini D%X' <UserInfoWKR MYINFO.ini D%X' >UserInfo Boss Name MYINFO.ini D%X' @UserInfo Boss Title MYINFO.ini D%X' B Update Form with user info WorkerName D%vG workerName  DB@xj WorkerTitle D%vG WorkerTitle  DB@xjWorkerAreaCode D%vGWorkerAreaCode " DB@xj WorkerPhone D%vG WorkerPhone $ DB@xjWorkerExtension D%vGWorkerExtension & DB@xjFaxAC D%vGFaxAC ( DB@xj WorkerFax D%vG WorkerFax * DB@xj Countynumber D%vG Countynumber 6 DB@xjDistrict D%vGDIstrict 8 DB@xjSection D%vGSECtion : DB@xjUnit D%vGUNit < DB@xjWorker D%vGWorker > DB@xj CountyName D%vG CountyName , DB@xj CoAddress D%vG CoAddress . DB@xjCoCity D%vGCoCity 0 DB@xjCoState D%vGCoState 2 DB@xjCoZip D%vGCoZip 4 DB@xjSupervisorName D%vGSupervisorName @ DB@xjSupervisorTitle D%vGSupervisorTitle B DB@xj. Update other Form Fields on Form & Exit Macro- Selected$=GetFormResult$ ("CurrentDate")! TheSerialDate = Today() + 14$ TheDate$ = Date$(TheSerialDate)& SetFormResult "DueDate", TheDate$) EditGoTo "CreateDate" : UnlinkFields EditGoTo "GranteefirstName"- ToolsProtectDocument .NoReset = 1, .Type = 2/ ToolsProtectSection .Section = 2, .Protect = 0d FileClose 2 SelectName = - 1kpoh`(Attribute VB_Name = "MyInfo" Public Sub Main(X) D.nDescription|Enter Personal rma:zProcDataIInvoke _FuncINoi8l..nADim iRet B  User$ATitleAreaCod-PhonYourExtFax|AC Offic $AddressCitByStat Zip ODILSEB;UN WKRBoss|| 'DEFINE DIALOG BOX WordBasic.BeginDialog 582, 300,} G TextBox 109@ A 5@ 18@ I @ey 56 * 83 _[ 105WDi 2A3321A5r 34 _  | 9 7 @ 1$55E [1 Pi 23` 6i`cV3jFAXAC41e lV1@,CO629 *DI7m pV? UN6z4!l1.yVm23n`~64`'Fz7,, c3z#the followin`g infa@bout ys0elf. ", ׂ !:w5f"bC #1z0@8O$351{1A-ST- u5 abm3r13@? gY  ;"C O-DI-T-U,N-@H47224*; supervisor!a 124f6p6iOKButtY48 8pR21 fCanctel3kEndn ҂dlg!u! As Object: Se$t = CurValues. vGET USER INFO FROMI FILE AND@ PUT I NTOzx.t[GetPrivfileS@@ng$](" "'P:qMY.ini"r hl ? pa"4??>? Mpn_1r &.nAC `axU/-Y??>OMA\C$$a&gp Op | DIpp/-UN0 | {p y QaserInfo", "Boss Name`MYINFO.ini") dlgU.Title = WordBasic.[GetPrivateProfileString$]("t| 'DISPLAY DIALOG BOX AND RESPOTO USER INPUT iRet Dialog.p (If 3-1 Then 'OK BUTTON ?WRI@TE NEW3FO6I FILE xSx wYour ?, - -AreaCod|PhonEExtE@FaxACL+@OfficZ|Address0$ L+gCity ? : |StP  z Zo%  CoCity  ! CoStat$c b CoZip  "Supervi8sor<`, Boss! /Titl% b ' Upd. other  FieldsH on& t Macro Rem" SelA}ed$=G$ ("Curre8ntD9'`Serial = Today() + 14$5()lDure",a"GEditGoTo 0"Cre : Unlink'Grante@efirst3"ToolsProtDocum! .No@et`1, .Type@2/ .8= 2 `0 Else#FileClose D c.@- 1$nd #Sub ME(<<< <h ~ X%"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it. ! cladd87 B@kPerform Spelling/Grammar check.n (  !ta8 !( !B@on  ReProtect the document. ! cladd87 l B@koAttribute VB_Name = "Module1" Sub FormsSpellCheck2() Dim x As wdNo Then  9ZPassword:="c@ladd87E nd If'P(erf ing/Gramma8r clK.Op2tBs.vWi thFalse EachIn JsZx.Range.iof>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, n orese&, o:=wdAllowOnlyAbAAe**#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}8(%HxAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2as  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#_VBA_PROJECT:PROJECTyPROJECTwmVCompObjj8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{8E05EE34-B4B3-11D4-946C-00C04F653776}#2.0#0#C:\TEMP\VBE\MSForms.EXD#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 8.0 Object Library  TBJ*ThisDocument094b3e2179ThisDocument*% MyInfo0:4b3e2179 MyInfo{.M'Module10;4b3e2186|Module1T0bP0Y_xHm lGC6})@u0+Lh2jD$G_0PQD0WordkVBAWin16~Win32MacVBA6#TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _EvaluateMyInfo@Main,iRet,pUserName\ UserTitleV9AreaCode UserPhoneYourExthLFaxACjYourFaxrN UserOffice0 UserAddressFUserCity UserStateUserZipDUserCOUserDIUserSEC4UserUN0UserWKR,BossNamef BossTitleH WordBasic BeginDialogFTextBoxQOKButton| CancelButton EndDialogmP dlgUserInfo2" CurValuesȤ UserDialogYourName;RGetPrivateProfileString$x YourTitleA# YourPhone YourOffice YourAddressYourCity YourStateYourZipYourCOYourDIYourSECvYourUNVYourWKRnDialogfSetPrivateProfileString=ExistingBookmark SetFormResultDocumentjModule1bFormsSpellCheck2gzxo FormFieldActiveDocument\ProtectionTypewdNoProtection Unprotect?PasswordOptionsCheckGrammarWithSpelling FormFields-|Range  NoProofing] CheckSpellingW AlwaysSuggestProtectfnoresetgwdAllowOnlyFormFields!l }6ID="{874D15B3-35DC-494B-A462-D5573E70BB64}" Document=ThisDocument/&H00000000 Module=MyInfo Module=Module1 Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="2527EA7AFA02FE02FE02FE02FE" DPB="B1B37E837F837F83" GC="3D3FF282F20FF30FF3F0" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=0, 0, 0, 0, C MyInfo=0, 0, 0, 0, C ThisDocumentThisDocumentMyInfoMyInfoModule1Module1  FMicrosoft Word Document MSWordDocWord.Document.89q @ bjbj RReeeeeeein-o-ooeJ{pR+t+t+t+t+t"Mx|yzzzzzzz$}Rdz-ez+t+tzzzee+t+t{zzzze+te+tzzzzzzeejz+tp P+ezzz {0J{zdzdzeeeeeedezzzzzzzzzzzee$ezeee FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTE&(*>@BLNPRfhvxzƈȈʈވ(*8:<PRTZ\^`tj@h4XQUj?h4XQUj4?h4XQUj>h4XQUj=h4XQUj]=h4XQUj<h4XQUjh4XQUmHnHuj;h4XQUjh4XQUj;h4XQUh4XQ2tvĉƉԉ։؉ "68FHJ^`bfhjl觢{pjzFh4XQUjEh4XQUjh4XQ5UmHnHujEh4XQ5U h4XQ5jh4XQ5UjDh4XQUjCh4XQUj4Ch4XQUjBh4XQUjAh4XQUh4XQjh4XQUjnAh4XQU,ЊҊԊ؊ڊ܊ފ&(*>@NPRfhvxzƋȋʋދUj@Lh4XQUjKh4XQUjJh4XQUjIh4XQUj-Ih4XQUjZHh4XQUjGh4XQUj4Gh4XQUh4XQjh4XQUjh4XQUmHnHu5(Pxȋ@bڔ$Hp(PxȖ>1;0/.-,+*)('&%98$<4765"XT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       .0>@BVX`bdxzȔʔؔڔܔ "$&:<>DFHJ^jQh4XQUjh4XQUmHnHuj/Qh4XQUjPh4XQUj(Ph4XQUjOh4XQUjNh4XQUj@NPRfhvxzjWh4XQUj4Wh4XQUjVh4XQUjUh4XQUj(Uh4XQUjh4XQUmHnHujTh4XQUjTh4XQUjKSh4XQUh4XQjh4XQUjRh4XQU3ĖƖȖʖޖ jYh4XQUjYh4XQUh4XQjh4XQUmHnHujh4XQUj(Xh4XQUȖ?2/ =!"#$%Bureau#Enter your Bureau/Office/Unit name.DCareOf UppercaseUEnter the Addressee's Supplemental Address (Example: Suite or Apartment Number, C/O)Address1D CaseNumber Uppercase/Enter the Case Number (Example: V1234567A,B,C)D ClientCity UppercaseEnter the Addressee's City. 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