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   Reports must be submitted within 20 days of date of hire or rehire. 
   REPORTS WILL NOT BE PROCESSED IF REQUIRED INFORMATION IS MISSING. 
ForFor additional information, call (888) 514-4568 or visit us online at www.ncnewhires.ncdhhs.gov.additional information, call (888) 514-4568 or visit us online at www.ncnewhires.com. 
                                                                       Rev.Rev. 05/202211/2019 






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