TR Form (Original and Duplicates)

This form should be used as prescribed by the Guidelines.
This form should be completed in duplicate. Ensure that both the 'Original' and 'Duplicate' copies of the form are printed and completed.
Additional information for Section #3 can be completed on the reverse side of the form. Kindly ensure that this is done on both the 'Original' and 'Duplicate' copies.
The size of the printed form should be 8.5" x 11".

Sample:

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