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VR Forms

Form Name Owner Revision Date Associated Chapters
Optional Invoice for Providers WSST/Job Coaching 7/23 Amy Hancock 2023-11-20 Show
(TWE) Trial Work Experience Plan Kristi Berst 2025-06-05 Show
15 Day Letter - English Angela Fujan 2020-02-14 Show
15 Day Letter - Spanish Angela Fujan 2022-05-11 Show
18/23 Month Assessment Action Plan Holly Enriquez 2018-09-05 Show
2025 OJE/TWE/WBLE Bi-weekly Payroll Schedule Melysa Johnson 2024-12-11 Show
2026 OJE/TWE/WBLE Bi-weekly Payroll Schedule Melysa Johnson 2025-12-16 Show
ABI/Autism SE Supplemental Questionnaire Carla Lasley 2018-11-30 Show
AbilityOne Process Kristi Berst 2022-04-01 Show
Acceptance Agreement Form (Equipment Agreement) Michael Enriquez 2021-02-28 Show
Action Planner Angela Fujan 2011-08-31 Show
ADA Guidance Holly Enriquez 2017-02-24 Show
Agrability Referral Angela Fujan 2014-03-31 Show
Application - English Angela Fujan 2024-07-01 Show
Application - Spanish Angela Fujan 2024-07-01 Show
Assessment for Competitive Integrated Employment Determination Checklist Kristi Berst 2024-04-01 Show
Assessment Services Cathy Callaway 2022-04-08 Show
Assessment Supports Cathy Callaway 2023-07-01 Show
Assignment Purchases-Medicare Cathy Callaway Show
Assignment Purchases-Third Party Cathy Callaway Show
ATP-CPAP Facility Assessment Referral Form Nancy Noha 2017-07-18 Show
ATP/VR Referral Nancy Noha 2024-03-27 Show
Authorization for Exchange of Information-Multi Agency Release Carla Lasley 2019-04-30 Show
Background Screen Release of Information (Disclosure and Authorization Form) Michael Enriquez Show
Benefits Orientation/Referral for Benefits Services Carla Lasley 2024-04-12 Show
Benefits Provider Choice or Declination - English Carla Lasley 2026-03-26 Show
Benefits Provider Choice or Declination - Spanish Carla Lasley 2026-03-26 Show
BP/DHHS Authorization for the Disclosure of Protected Health Information Carla Lasley 2026-03-24 Show
BP/DHHS Authorization for the Disclosure of Protected Health Information-Spanish Carla Lasley 2026-03-24 Show
BP/SSA 3288 Consent for Release of Information - General English Carla Lasley 2026-03-19 Show
BP/SSA 3288 Consent for Release of Information - General Spanish Carla Lasley 2026-03-19 Show
Budget Worksheet-Education Financial Aid Angela Fujan 2016-03-02 Show
Budget Worksheet-Post-Secondary Angela Fujan 2006-05-31 Show
Career Planning Preferences - English Angela Fujan 2016-01-01 Show
Career Planning Preferences - Spanish Angela Fujan 2020-04-15 Show
Case File Order List Angela Fujan 2019-06-04 Show
Case File Request for Information Cathy Callaway 2023-04-13 Show
Case Review - Compliance (Draft) Holly Enriquez 2024-06-30 Show
Case Review - Quality (Draft) Holly Enriquez 2024-06-30 Show
Class Work Site Observation Checklist Kristi Berst 2021-04-02 Show
Client Reimbursement Cathy Callaway 2019-04-30 Show
Client User ID Password Letter Cathy Callaway 2021-07-15 Show
Code of Conduct Angela Fujan 2021-02-01 Show
Communication Assessment - English Angela Fujan 2023-01-24 Show
Communication Assessment - Spanish Angela Fujan 2023-01-24 Show
Compliance Review (Download Word Document) Cathy Callaway 2024-06-12 Show
Concurrent Work Incentives Guide 2025 - English Carla Lasley 2025-01-01 Show
Concurrent Work Incentives Guide 2025 - Spanish Carla Lasley 2025-01-01 Show
Concurrent Work Incentives Guide 2026 - English Carla Lasley 2026-03-04 Show
Concurrent Work Incentives Guide 2026 - Spanish Carla Lasley 2025-11-26 Show
Confidentiality Agreement Holly Enriquez 2021-07-27 Show
Contact Letter - English Angela Fujan 2019-04-17 Show
Contact Letter - Spanish Angela Fujan 2022-04-25 Show
Continuity of Operations Plan (COOP) for COVID-19 Lindy Foley 2021-08-26 Show
Corrective Action Plan Cathy Callaway 2019-04-30 Show
CPAP 2.0 Individualized Business Plan (IBP) Ami Stubben-Goetsch 2022-08-16 Show
Direct Deposit Enrollment Cinda Wacker 2013-07-31 Show
Direct Purchase Authorization (DPA) Cathy Callaway Show
Discovery Activity: Application for Employment - English Angela Fujan 2023-05-11 Show
Discovery Activity: Application for Employment - Spanish Angela Fujan 2023-05-11 Show
Discovery Activity: Family Support Network - English Angela Fujan 2023-05-11 Show
Discovery Activity: Family Support Network - Spanish Angela Fujan 2023-05-11 Show
Discovery Activity: Job Skills - English Angela Fujan 2023-05-11 Show
Discovery Activity: Job Skills - Spanish Angela Fujan 2023-05-11 Show
Discovery Activity: Make Sure - English Angela Fujan 2023-05-11 Show
Discovery Activity: Make Sure - Spanish Angela Fujan 2023-05-11 Show
Discovery Activity: Non-Paid Work Experiences - English Angela Fujan 2023-05-11 Show
Discovery Activity: Non-Paid Work Experiences - Spanish Angela Fujan 2023-05-11 Show
Discovery Activity: Work Considerations - English Angela Fujan 2023-05-11 Show
Discovery Activity: Work Considerations - Spanish Angela Fujan 2023-05-11 Show
Discovery Activity: Work Interests - English Angela Fujan 2023-05-11 Show
Discovery Activity: Work Interests - Spanish Angela Fujan 2023-05-11 Show
Discovery Activity: Work Preferences - English Angela Fujan 2023-05-11 Show
Discovery Activity: Work Preferences - Spanish Angela Fujan 2023-05-11 Show
Discovery Activity: Work Values - English Angela Fujan 2023-05-11 Show
Discovery Activity: Work Values - Spanish Angela Fujan 2023-05-11 Show
Electronic Case File Categories/Attachment Types Cathy Callaway 2025-06-05 Show
Eligibility Letter - English Angela Fujan 2024-07-01 Show
Eligibility Letter - Spanish Angela Fujan 2020-05-07 Show
Emancipated Minor Form Carla Lasley 2019-04-02 Show
Employee Roster Information Holly Enriquez 2017-05-03 Show
Employment Success Skills Michael Enriquez 2024-10-09 Show
Exception Request-CSI Furniture (SPB Form 9) Holly Enriquez 2025-10-15 Show
Exit Status Decision Tree Kristi Berst 2025-06-05 Show
External Agency/Business Partner Media Release Michael Enriquez 2022-03-16 Show
Financial Aid Budget Information Angela Fujan 2011-02-03 Show
Focus Card Enrollment Form Amy Hancock 2023-07-05 Show
Functional Capacities Checklist Angela Fujan 2019-04-10 Show
Functional Cognitive Assessment Referral Keri Bennett 2026-01-29 Show
Guide for Approval of Eligibility and Priority Groups Angela Fujan 2017-11-30 Show
Guide for Nebraska VR Staff Requesting Information from NE Department of Correctional Services Holly Enriquez 2022-08-25 Show
High Cost Request Angela Fujan 2019-09-24 Show
Horizontal Wage Progression Holly Enriquez Show
I-9 Checklist Holly Enriquez Show
I-9 Form & Information Amy Hancock 2024-03-06 Show
Impairments Checklist Angela Fujan 2019-08-09 Show
Impediment Questions Angela Fujan 2023-05-04 Show
Incident/Accident/Injury Report for Clients & Applicants Holly Enriquez 2023-02-08 Show
Individualized Plan for Employment (IPE) - English Cathy Callaway 2024-12-03 Show
Individualized Plan for Employment (IPE) - Spanish Cathy Callaway 2024-12-03 Show
Information and Referral (I & R) to Other Programs Angela Fujan 2022-07-12 Show
Information and Referral (I & R) to Other Programs - Spanish Angela Fujan 2022-07-12 Show
Informational Interview Questionnaire Kristi Berst 2018-11-20 Show
Initial Meeting Questions Angela Fujan 2019-08-01 Show
Initial Meeting to Next Step Guide Angela Fujan 2021-03-31 Show
IPE Guide Angela Fujan 2019-08-30 Show
IPE Services Cathy Callaway 2024-07-01 Show
Job Facts Guide Michael Enriquez 2014-05-31 Show
Job Planning Factors & Job Planning Discussion Angela Fujan 2021-10-26 Show
Job Readiness Factors & Initial Meeting - A Guide for Staff Angela Fujan 2021-10-26 Show
Job Search Agreement and Consent - English Michael Enriquez 2023-03-16 Show
Job Search Agreement and Consent - Spanish Michael Enriquez 2023-03-16 Show
Job Seeking Skills Training Application Michael Enriquez Show
Job Seeking Skills Training Booklet - English Michael Enriquez 2017-12-01 Show
Key VR Timeframes Angela Fujan 2025-08-21 Show
List of Background Checks Carla Lasley 2024-01-05 Show
Mediation Referral Angela Fujan 2019-04-30 Show
Medicaid Spreadsheet (No Insurance) Amy Hancock Show
Medicaid Spreadsheet (With Insurance) Cathy Callaway 2025-03-31 Show
Merit Stipend Request Holly Enriquez Show
NE VR Sign Language Interpreting Request Vicki Steinhaur-Campbell 2016-05-05 Show
Nebraska VR ABI Interview Keri Bennett 2026-05-11 Show
Nebraska VR Office Listing Cathy Callaway 2026-02-26 Show
Nebraska VR Question and Answers Continuity of Operations Plan (COOP)- COVID 19 Lindy Foley 2021-04-01 Show
Nebraska VR/SPED Inter-Departmental Agreement Lindy Foley 2018-08-22 Show
Next Steps - English Angela Fujan 2010-11-30 Show
Next Steps- Spanish Angela Fujan 2015-11-30 Show
Office Director Letter Angela Fujan 2022-10-07 Show
OJE Letter - Paid Kristi Berst 2025-06-05 Show
OJE Letter - Unpaid Kristi Berst 2025-06-05 Show
OJE/TWE Checklist Kristi Berst 2022-02-25 Show
OJE/TWE Consent Kristi Berst 2022-01-12 Show
OJE/TWE Timesheet Kristi Berst 2022-01-12 Show
OJT Letter Michael Enriquez 2022-01-12 Show
On-Line Access to Pay Stub - English Cathy Callaway 2026-01-07 Show
On-line Access to Pay Stub - Spanish Cathy Callaway 2026-01-07 Show
On-the-Job Report Kristi Berst 2025-06-30 Show
OOS Off Wait List Letter - English Angela Fujan 2020-02-25 Show
OOS Off Wait List Letter - Spanish Angela Fujan 2022-11-18 Show
OOS Upgrading Priority Group Letter - English Angela Fujan 2021-08-04 Show
OOS Upgrading Priority Group Letter - Spanish Angela Fujan 2021-08-27 Show
Order of Selection (OOS) Fact Sheet Angela Fujan 2022-10-03 Show
Order of Selection (OOS) Fact Sheet Spanish Angela Fujan 2022-10-03 Show
Order of Selection (OOS) Questions & Answers Angela Fujan 2018-05-08 Show
Order of Selection (OOS) Talking Points Lindy Foley 2018-05-03 Show
Order of Selection communication to VR staff on process for working with BH Regions while all categories are closed Lindy Foley 2018-06-04 Show
Order of Selection Communication to VR staff on process for working with DDD while all categories are closed Lindy Foley 2018-06-04 Show
Order of Selection Job Retention Questions Angela Fujan 2019-03-31 Show
Order of Selection Retention Letter Angela Fujan 2020-11-19 Show
Orientation Welcome Letter-Word version Sarah Chapin 2017-12-14 Show
Pearls of Placement Reference Guide Michael Enriquez 2024-01-24 Show
Physical Capacities Angela Fujan 2014-02-28 Show
Position Information Sheet Associate Holly Enriquez 2019-10-25 Show
Position Information Sheet Service/Rehab Specialists Holly Enriquez 2019-10-25 Show
Post Secondary Training Justification - PDF Angela Fujan 2010-09-30 Show
Post Secondary Training Justification - Word doc Angela Fujan 2010-09-30 Show
Pre-Employment Transition Services Consent & Information Release - English Lupe Stevens 2023-05-16 Show
Pre-Employment Transition Services Consent & Information Release - Spanish Lupe Stevens 2023-05-16 Show
Pre-Employment Transition Services Consent for a Non-paid Work Based Learning Experience Lupe Stevens 2019-04-30 Show
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (14-15 y.o.) Lupe Stevens 2019-04-30 Show
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (14-15 y.o.) Spanish Lupe Stevens 2019-04-30 Show
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (16+ y.o.) Lupe Stevens 2019-04-30 Show
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (16+ y.o.) Spanish Lupe Stevens 2019-04-30 Show
Pre-Employment Transition Services Consent for Non-paid Work Based Learning Experience Spanish Lupe Stevens 2019-04-30 Show
Pre-Employment Transition Services Release of Information English Lupe Stevens 2020-04-29 Show
Pre-Employment Transition Services Release of Information Spanish Lupe Stevens 2020-04-30 Show
Pre-Employment Transition Services Work Based Learning Letter-Paid Lupe Stevens 2017-08-30 Show
Pre-Employment Transition Services Work Based Learning Letter-Unpaid Lupe Stevens 2017-08-30 Show
Pre-Employment Transition Services Work-Based Learning Experience (WBLE) Checklist Lupe Stevens 2023-08-29 Show
Pre-Employment Transition Services Work-Based Learning Experience Information Lindsay Brown 2022-05-05 Show
Pre-Employment Transition Services Work-Based Learning Experience Information Spanish Lindsay Brown 2022-05-04 Show
Pre-Employment Transition Services Work-Based Learning Experience Report Lupe Stevens 2019-06-20 Show
Pre-ETS Benefits Orientation - Discussion Referral Lindsay Brown 2025-10-30 Show
Pre-ETS Benefits Orientation Flowchart Lindsay Brown 2025-10-30 Show
Pre-ETS Benefits Orientation Information - English Lindsay Brown 2025-12-09 Show
Pre-ETS Benefits Orientation Information - Spanish Lindsay Brown 2025-12-09 Show
Pre-ETS Job Exploration Referral Lupe Stevens 2023-01-24 Show
Pre-ETS Letter Change of Contact - English Lindsay Brown 2025-01-28 Show
Pre-ETS Letter Change of Contact - Spanish Lindsay Brown 2025-01-28 Show
Pre-ETS Letter Non Participation - English Lindsay Brown 2025-01-28 Show
Pre-ETS Letter Non Participation - Spanish Lindsay Brown 2025-01-28 Show
Pre-ETS Letter Termination - English Lindsay Brown 2025-10-07 Show
Pre-ETS Letter Termination - Spanish Lindsay Brown 2025-10-30 Show
Pre-ETS Letter Termination after Graduation - English Lindsay Brown 2025-01-28 Show
Pre-ETS Letter Termination after Graduation - Spanish Lindsay Brown 2025-01-28 Show
Pre-ETS Letter Welcome - English Lindsay Brown 2025-01-28 Show
Pre-ETS Letter Welcome - Spanish Lindsay Brown 2025-01-28 Show
Progressive Employment Model Michael Enriquez 2022-03-31 Show
Proof of Purchase Cathy Callaway 2019-04-30 Show
Provider Invoice Cathy Callaway 2026-02-26 Show
Purchase of Goods and Services Angela Fujan 2017-05-01 Show
Quality Review (Download Word Document) Cathy Callaway 2024-06-12 Show
Records Transfer Sheet Holly Enriquez 2023-04-06 Show
Release of Information English Angela Fujan 2024-02-13 Show
Release of Information Spanish Angela Fujan 2024-02-13 Show
Request for Certificate of Self-Insurance Holly Enriquez 2025-07-01 Show
Request for Medical Information - English Angela Fujan 2019-04-01 Show
Request for Medical Information - Spanish Angela Fujan 2019-04-01 Show
Request Temporary Access Holly Enriquez 2022-06-06 Show
Schedule A Certification Letter for VR Staff Michael Enriquez 2018-10-01 Show
Section 511: CCIR Case Review Checklist DJ Plautz 2023-01-24 Show
Section 511: Documentation Checklist for Adults (age 25 and older) DJ Plautz 2020-02-24 Show
Section 511: Documentation Checklist for Youth (Age 24 and younger) DJ Plautz 2020-02-24 Show
Section 511: Refusal of Pre-Employment Transition Services (While still in High School) DJ Plautz 2020-11-30 Show
Section 511: Refusal to Participate - English DJ Plautz 2023-01-27 Show
Section 511: Refusal to Participate - Spanish DJ Plautz 2023-01-27 Show
Self Employment Discussion Questionnaire-Data Entry Julie Shively 2021-03-24 Show
Self Employment Feasibility Referral Form Julie Shively 2022-05-23 Show
Self Employment Personal Finance Worksheet Julie Shively 2017-02-07 Show
Self Employment Process Chart Julie Shively 2018-01-26 Show
Self Employment Rates & Hourly Estimates Michael Enriquez 2023-05-25 Show
Self Employment-Advantages Julie Shively 2017-03-01 Show
Self-Employment - Green Flags/Red Flags Julie Shively 2021-12-10 Show
Service & Device Application - English Nancy Noha 2023-10-20 Show
Service & Device Application - Spanish Nancy Noha 2023-10-20 Show
Service Agreement Carla Lasley 0010-06-03 Show
Signing of VR Documents chart Carla Lasley 2019-04-02 Show
Sources & Uses of Funds Julie Shively 2021-04-09 Show
State Vehicle Waiver - VR English and Spanish Holly Enriquez 2019-06-04 Show
Student Financial Aid Report (SFAR-E) Angela Fujan 2024-08-14 Show
Substance Use Disorders- VR Desk Reference Angela Fujan 2022-11-18 Show
Successful Outcome Letter (Non SSA) in English Angela Fujan 2022-10-07 Show
Successful Outcome Letter (Non SSA) in Spanish Angela Fujan 2022-10-07 Show
Successful Outcome Letter (SS beneficiaries) in English Carla Lasley 2022-10-07 Show
Successful Outcome Letter (SS beneficiaries) in Spanish Carla Lasley 2022-10-07 Show
Suicide Call Holly Enriquez 2009-02-28 Show
Suicide Call Form Holly Enriquez 2015-12-16 Show
Summary of Case Review Findings Angela Fujan 2020-01-13 Show
Summary of Initial Meeting Angela Fujan 2019-04-04 Show
Summary of Initial Meeting-Spanish Angela Fujan 2019-04-04 Show
Supported and Customized Employment - Side by Side Referral Decision Guide DJ Plautz 2023-07-01 Show
Supported and Customized Employment Extended Services for Youth Report & Invoice DJ Plautz 2023-09-20 Show
Supported and Customized Employment Fiscal Chart DJ Plautz 2025-07-01 Show
Supported and Customized Employment Job Coaching/Job Support Report & Invoice DJ Plautz 2025-07-01 Show
Supported and Customized Employment Job Search and Placement - Outcome Report & Invoice DJ Plautz 2025-07-01 Show
Supported and Customized Employment Monthly Report DJ Plautz 2023-07-01 Show
Supported and Customized Employment Plan for Job Development - Outcome Report & Invoice DJ Plautz 2025-07-01 Show
Supported and Customized Employment Provider Handbook DJ Plautz 2025-07-01 Show
Supported and Customized Employment Referral DJ Plautz 2023-07-01 Show
Supported and Customized Employment Verification of Employee Hours Worked DJ Plautz 2023-09-01 Show
Supported Employment Case Review DJ Plautz 2024-07-01 Show
Supported Employment Provider Questions DJ Plautz 2026-01-16 Show
Supported Self-Employment Guidance Michael Enriquez 2018-05-23 Show
Supported/Customized Employment Payment Schedule DJ Plautz 2024-07-01 Show
Tax Exempt Form (Form 13) Cathy Callaway 2025-07-22 Show
Termination Letter for Non SSA Recipients in English Angela Fujan 2022-10-07 Show
Termination Letter for Non SSA Recipients in Spanish Angela Fujan 2022-10-12 Show
Termination Letter for SSA Recipients in English Carla Lasley 2022-10-07 Show
Termination Letter for SSA Recipients in Spanish Carla Lasley 2022-10-07 Show
Time Conversion Chart Cathy Callaway Show
Title II: Social Security Disability Insurance Work Incentives Guide 2025 - English Carla Lasley 2025-01-01 Show
Title II: Social Security Disability Insurance Work Incentives Guide 2025 - Spanish Carla Lasley 2025-01-01 Show
Title II: Social Security Disability Insurance Work Incentives Guide 2026 - English Carla Lasley 2025-11-26 Show
Title II: Social Security Disability Insurance Work Incentives Guide 2026 - Spanish Carla Lasley 2025-11-26 Show
Title XVI: Supplemental Security Income Work Incentives Guide 2025 - English Carla Lasley 2025-01-01 Show
Title XVI: Supplemental Security Income Work Incentives Guide 2025 - Spanish Carla Lasley 2025-01-01 Show
Title XVI: Supplemental Security Income Work Incentives Guide 2026 - English Carla Lasley 2026-03-04 Show
Title XVI: Supplemental Security Income Work Incentives Guide 2026 - Spanish Carla Lasley 2026-02-04 Show
Training Plan Ken Cuevas 2018-09-19 Show
Training Request Ken Cuevas 2020-02-18 Show
Transition Partnership Planning Form Lupe Stevens 2021-08-17 Show
Transition Services Partnership Planner Lupe Stevens 2021-08-16 Show
TSB Official Travel Log Melysa Johnson 2026-01-01 Show
Viability Referral Angela Fujan 2021-06-14 Show
Video and Media Information Release for Clients Sarah Chapin 2025-04-29 Show
Vocational Evaluation Referral Kristi Berst 2022-12-08 Show
Volunteer/Non-Paid Accident Coverage Holly Enriquez 2025-07-07 Show
Volunteer/Unpaid Intern Holly Enriquez Show
Voter Registration Disclaimer Holly Enriquez 2020-04-01 Show
Voter Registration Disclaimer-Spanish Holly Enriquez 2020-04-14 Show
Voter Registration Form Spanish Holly Enriquez 2025-12-22 Show
Voter Registration Form English Holly Enriquez 2025-12-22 Show
VR Financial Aid Angela Fujan 2022-11-10 Show
VR Process Chart Angela Fujan 2021-10-26 Show
VR Psychological Narrative Report Guidelines Angela Fujan 2006-08-31 Show
VR Referral Form - English Angela Fujan 2023-10-20 Show
VR Referral Form - Spanish Angela Fujan 2023-10-20 Show
VR/SSA 3288 Consent for Release of Information - General English Carla Lasley 2021-11-10 Show
VR/SSA 3288 Consent for Release of Information - General Spanish Carla Lasley 2021-11-10 Show
W-4 Employee's Withholding Allowance Certificate Holly Enriquez 2026-01-07 Show
W-4N Employee’s Nebraska Withholding Allowance Certificate Holly Enriquez 2023-07-05 Show
W-9 & ACH Enrollment Cinda Wacker Show
Weekly Job Search Record Michael Enriquez Show
Welcome Letter with Link to Orientation Video-Constant Contact Sarah Chapin 2024-07-10 Show
What to Expect During Nebraska VR ABI Interview Keri Bennett 2025-11-24 Show
Work Opportunity Tax Credits - 8850 - Pre-Screening Notice & Certification Request - English Michael Enriquez Show
Work Opportunity Tax Credits - 8850 - Pre-Screening Notice & Certification Request - Spanish Michael Enriquez Show
Work Opportunity Tax Credits - 8850 - Pre-Screening Notice & Certification Request Instructions Michael Enriquez Show
Work Opportunity Tax Credits - 9061 Individual Characteristics - English Michael Enriquez Show
Work Opportunity Tax Credits - 9061 Individual Characteristics - Spanish Michael Enriquez Show
Work Schedule Holly Enriquez Show
Work-Based Learning Experience (WBLE) Timesheet Lindsay Brown 2023-06-13 Show

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