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If you are unable to submit this form online or if you would prefer to contact us by phone, call 651.539.1100 (ask for Compliance)/TTY 651.296.1283; toll-free: 800.657.3704. Our Fax number is 651.296.9042. You may also email us at compliance.MDHR@state.mn.us.

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If you are unable to submit this form you may contact us by phone at 651-539-1100/TTY 651-296-1283 or Toll free at 800-657-3704 (Ask for Compliance)