(1) The Department may conduct a background screening on current employees based on division's background screening guidelines determined by risk associated with the employees' work responsibilities. Background Screening. Authority: The FBIs acquisition, preservation, and exchange of fingerprints and associated information is generally authorized under 28 U.S.C. \par \tab \hich\af5\dbch\af31505\loch\f5 (b) commit theft; or If the individual is not eligible for cl If the employee answers "Yes" to #2 or #3 of the form, court dockets or case reports are required to be submitted along with the application. \leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext\'03(\'04);}{\levelnumbers\'02;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0 ;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 }{\listlevel\levelnfc3\levelnfcn3\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext \par \tab \hich\af5\dbch\af31505\loch\f5 (v) an executive; If you submit your forms via email, the Department will contact you to take payment over the phone. \par \tab \hich\af5\dbch\af31505\loch\f5 (g) a home health agency; or \par \tab \hich\af5\dbch\af31505\loch\f5 (G) 62A-3-30\hich\af5\dbch\af31505\loch\f5 5 failure to report suspected abuse, neglect, or exploitation of a vulnerable adult. \lsdpriority50 \lsdlocked0 List Table 5 Dark Accent 2;\lsdpriority51 \lsdlocked0 List Table 6 Colorful Accent 2;\lsdpriority52 \lsdlocked0 List Table 7 Colorful Accent 2;\lsdpriority46 \lsdlocked0 List Table 1 Light Accent 3; po box 144103 salt lake city, ut 84114-4103 (801) 273-2994 (800) 662-4157 toll free (801) 274-0658 fax. Follow the instructions on page 2 of the form for submitting the form and the payment information. Each employee will meet with an authorized agency screening agent to complete their online background clearance application. \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 5;\lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 5;\lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 5;\lsdpriority70 \lsdlocked0 Dark List Accent 5;\lsdpriority71 \lsdlocked0 Colorful Shading Accent 5; \expnd0\expndtw-3\insrsid14438297 utah department of health and human services division of licensing & background checks office of licensing . \par \tab \hich\af5\dbch\af31505\loch\f5 (6) A covered contractor may not supply to a covered provider a covered individual who has been determined to be not eligible to have direct patient access. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Keyboard;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Preformatted;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Sample;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Typewriter; \par \tab \hich\af5\dbch\af31505\loch\f5 (1) As required in Utah Code 26-21-204 the department may review relevant information obt\hich\af5\dbch\af31505\loch\f5 ained from the following sources: \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 KEY: health care facilities, background screening}{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \par \tab \hich\af5\dbch\af31505\loch\f5 (2) "Clearance" means approval by the department under Section 26-21-203 for an individual to have direct patient access. \par \tab \hich\af5\dbch\af31505\loch\f5 (h) a personal care agency. 1cac24d91adc3d8d1797de195df3a708422c6cd795011744c0dd413db3e682c0655891c8caf8db294c79da356fa3740c65e388ae62945714339967709dca0b3a \lsdqformat1 \lsdpriority1 \lsdlocked0 No Spacing;\lsdpriority60 \lsdlocked0 Light Shading;\lsdpriority61 \lsdlocked0 Light List;\lsdpriority62 \lsdlocked0 Light Grid;\lsdpriority63 \lsdlocked0 Medium Shading 1;\lsdpriority64 \lsdlocked0 Medium Shading 2; (5) If the Department determines an individual is not eligible for direct patient access, based on information obtained through the Direct Access Clearance System, the Department shall send a Notice of Agency Action to the covered contractor and the i \par \tab \hich\af5\dbch\af31505\loch\f5 (iv) registries of nurse aids described in Title 42 Code of Federal Regulations Section 483.156; If the background screening report reveals something that may cause you to decide not to hire the person, you must notify them of the results of the . A face covering or mask is recommended for anyone being fingerprinted. \rtlch\fcs1 \af5 \ltrch\fcs0 \insrsid7565795 \chftnsepc \par \tab \hich\af5\dbch\af31505\loch\f5 (iii) surrounding circumstances; 79fdf77c6eadca923b466964cafdf2dd1ffef3cd6fbd7ffff0ed2f5fff319b7a172f4cfcbbbffdeedd3ffef93ef5b0e2d2146ffff4fdbb1fbf7ffbe7dfffebaf \pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid14438297 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af31507 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Smart Hyperlink;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Hashtag;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Unresolved Mention;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Smart Link;}}{\*\datastore 01050000 \par \tab \hich\af5\dbch\af31505\loch\f5 (b) a long-term care hospital; \par \tab \hich\af5\dbch\af31505\loch\f5 (c)\hich\af5\dbch\af31505\loch\f5 a nursing care facility; Providers do not need to submit payment if there is a fee indicated. 4b0d592c9c070d8a65cd2e88b7f07c2ca71ba8da481cc52c6ce1c715e6e97818c9b48d13df49c873517d23d59085adb5dd20d6b52bd521ef2cdd5eb9246a3d8b 1-888-421-1100 \par \tab \hich\af5\dbch\af31505\loch\f5 (b) by contract; \red192\green192\blue192;\red0\green0\blue0;\red0\green0\blue0;}{\*\defchp \fs22\loch\af31506\hich\af31506\dbch\af31505 }{\*\defpap \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 } You will get an auto-generated email with a link to an online disclosure form to acknowledge. Your written request should clearly identify the information that you feel is inaccurate or incomplete and should include copies of any available proof or supporting documentation to support your claim. \par \tab \hich\af5\dbch\af31505\loch\f5 (ii) a disabled individual, as defined by department rule; Rule R380-300. \par Applicants also have the option to complete an online version of the Background Check Authorization form . Find. {\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);} \par \tab \hich\af5\dbch\af31505\loch\f5 (b) The dep\hich\af5\dbch\af31505\loch\f5 artment shall rely on relevant information identified in R432-35-8(1), (2), and (3) as conclusive evidence and may deny clearance based on that information. Apply for a license. Child Abuse/Neglect Live scan operator will sign and return a copy of the form to be uploaded into DACS by the screening agent. No appeal is available if you are denied for failure to provide required information, If you close your foster care license, it is your or the screening agents responsibility to inform the Office of Licensing for removal from the ongoing Rap Back system, You are required to disclose all criminal charges, including pending charges, and all supported or substantiated findings of abuse, neglect or exploitation. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 line number;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 page number;\lsdsemihidden1 \lsdlocked0 endnote reference;\lsdsemihidden1 \lsdlocked0 endnote text; \par \tab \hich\af5\dbch\af31505\loch\f5 To outline the process required for individuals to be cleared to have direct patient access while employed by a covered provider, covered contractor or covered employer. Call: (801) 538-4242 \par \tab \hich\af5\dbch\af31505\loch\f5 (iii) the Department of Human Services' Division of Aging and Adult Services vulnerable adult abuse, neglect, or exploitation database described \hich\af5\dbch\af31505\loch\f5 in Section 62A-3-311.1; \lsdpriority47 \lsdlocked0 List Table 2 Accent 3;\lsdpriority48 \lsdlocked0 List Table 3 Accent 3;\lsdpriority49 \lsdlocked0 List Table 4 Accent 3;\lsdpriority50 \lsdlocked0 List Table 5 Dark Accent 3; \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 R432-35-4. Background Check Forms & Publications - Wisconsin The agency will keep it on file and make it available as needed by the Office of Licensing, If a screening is denied, you and/or your background screening agent will be notified in writing, along with appeal procedures. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 4;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Colorful 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Colorful 2; Notice of Proposed Rule (New Rule) DAR File No. Caregivers Criminal History Screening Program - nmhealth.org While it can be somewhat scary at first, it is actually a good thing. What is a Background Check Authorization Form? - Secure Thoughts {\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);} Criminal Background Screening Published: Nov 30, 2022 Responsible Unit: Vice President for Human Resources 1. The Utah Department of Health and Human Services is now one agency. \hich\af5\dbch\af31505\loch\f5 individual notifying them of the right to appeal in accordance with R432-30. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Variable;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Normal Table;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 annotation subject;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 No List; Screening Minors (under age of 18) Prior to conducting criminal background screening on a minor (under age of 18), hiring departments must obtained a signed copy of the " Background Screening Consent Form for Minors " from the minor and the minor's parent or legal guardian. \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 Notice of Continuation: January 29, 2018}{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \par \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Normal Indent;\lsdsemihidden1 \lsdlocked0 footnote text;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 annotation text;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 header; \par \tab \hich\af5\dbch\af31505\loch\f5 (e) an assisted living facility; \par \tab \hich\af5\dbch\af31505\loch\f5 (i) whom a covered body engages; and \par \tab \hich\af5\dbch\af31505\loch\f5 (d) Resident family members; For example, if your disposition information is incorrect or missing, you may submit documentation obtained from the court having control over the arrest or the office prosecuting the offense. used by Utah Department of Health (UDOH) to determine my eligibility for licensure as a medical cannabis product establishment owners or directors, or . Child Abuse/Neglect \par For federal Identity History Summary updates, the FBI must receive a request directly from the original arresting agency, from a court with control over the arrest data, or from another agency with control over the arrest data. Background Check Authorization Form with Instructions (DSHS 09-653) The Background Check Authorization Form is completed by the applicant and given to the requesting entity. \par \tab \hich\af5\dbch\af31505\loch\f5 (3) The covered provider must ensure the Direct Access Clearance System reflects the current status of the covered individual within 5 w\hich\af5\dbch\af31505\loch\f5 orking days of the engagement or termination. Training materials and other information related to DACS can be found here. In the interest of professionalism, public trust and safety for families and individuals, Utah code requires that all persons associated with a licensed facility (owner, director, governing body, employee, agent, provider, contractor or volunteer) who has or will have direct access to children and/or vulnerable adults must pass a criminal background screening. In the interest of professionalism, public trust and safety for families and individuals, Utah code requires that all persons associated with a licensed facility (owner, director, governing body, employee, agent, provider, contractor or volunteer) who has or will have direct access to children and/or vulnerable adults must pass a criminal background screening. \ltrch\fcs0 \insrsid7565795 \chftnsep }{\rtlch\fcs1 \af5 \ltrch\fcs0 \insrsid7565795 \lsdpriority72 \lsdlocked0 Colorful List Accent 5;\lsdpriority73 \lsdlocked0 Colorful Grid Accent 5;\lsdpriority60 \lsdlocked0 Light Shading Accent 6;\lsdpriority61 \lsdlocked0 Light List Accent 6;\lsdpriority62 \lsdlocked0 Light Grid Accent 6; Human Services. \par \tab \hich\af5\dbch\af31505\loch\f5 (d) a small health care facility; \par \tab \hich\af5\dbch\af31505\loch\f5 (f) the Department of Human Services' Division of Aging and Adult Services vulnerable adult abuse, neglect, or exp\hich\af5\dbch\af31505\loch\f5 loitation database described in Section 62A-3-311.1; Background Screening -- Health Facilities. 8376bf330efaaff23606569ea58fdc16605ecdebde7f010000ffff0300504b0304140006000800000021000dd1909fb60000001b010000270000007468656d65 \par }{\*\themedata 504b030414000600080000002100e9de0fbfff0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb4ec3301045f748fc83e52d4a b175b61bc320c71aa0ecd1a17bd41e35eb16ded0dfdce3dc0fd5c7c26b50a63fd8c34f2643b0a285d7a00c1feee1c3417730b2f56b50866fede1dbb5fe28685b 67a97b37e576b7b96ea74f28aa0418bcb09fa3ea5ea12018d4cac92c6a8af17e1a56393b1fb56bc776811fa07695226164fdd656ed8edd8a1ae19c0e066f54f9 In the interest of professionalism, public trust and safety for families and individuals, Utah code requires that all persons associated with a licensed facility (owner, director, governing body, employee, agent, provider, contractor or volunteer) who has or will have direct access to children and/or vulnerable adults must pass a criminal When a person tries to buy a firearm, the seller, known as a Federal . I understand that my personal information including name, DOB, SSN and fingerprints will be used for the purpose of . MD Department of Public Safety and Correctional Services I hereby authorize (enter name of requesting agency) Division Public and Behavioral Health, to submit a set of my fingerprints to the Nevada Department Public Safety, Records Bureau for the purpose of accessing and reviewing State of Nevada and FBI criminal history records that may pertain to me. \par \hich\af5\dbch\af31505\loch\f5 e\hich\af5\dbch\af31505\loch\f5 arance as defined in R432-35-8, the Department may revoke an existing license or deny licensure for healthcare services in the residential setting. Screening applications typically take three weeks to process. 493c1b9426881fd2fc08bc6eda7c0ca52e7105c0633a3f37818f08f480102f4ea33c16a0c308ee835a9fc4c82a60ea5db8e375c32dff5d658fc1be7c61d1b8c2 Out of State Clearance: Per 62A-2-120 applicants need to receive the Out of State Child Abuse Registry check for any state in which they have resided in the last 5 years. 0f88d94fbc52ae4264d1c910d24a45db3462247fa791715fd71f989e19e0364cd3f51652d73760ae8fa8c9ffb3c330cc9e4fc17faf2ce545046e37944c69e462 he covered employer and the individual explaining the action and the individual's right of appeal as defined in R432-30. d individual prior to issuance of a provisional license, license renewal or engagement as a covered individual. Screening agent will submit payment for the online application processing. Definitions. Penalties. National Suicide Prevention Lifeline each applicant and instructor signs a criminal background screening authorization form which must be available for review by the department; . Code R432-35-5 - Covered Contractor - DACS Process . The following forms are for those authorized entities seeking to obtain criminal history information on employees or volunteers. \par \tab \hich\af5\dbch\af31505\loch\f5 (f) a hospice; }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Colorful 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Columns 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Columns 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Columns 3; rect Access Clearance System to initiate a clearance for each covered individual prior to being supplied by contract to a covered provider. \snext11 \ssemihidden \sunhideused Normal Table;}{\s15\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af31507\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 PRIVACY POLICY ACKNOWLEDGEMENT FORM. Pursuant to the Federal Privacy Act of 1974 (5 USC 552a), the requesting agency is responsible for informing you whether disclosure is mandatory or. \par \tab \hich\af5\dbch\af31505\loch\f5 (ii) passage of time; I-9, Employment Eligibility Verification - Home | USCIS 4222ce0cae934e960d122231f728497abe5a7ee1069aea1ca2b9d51b90103e59725d482b9f1a3970baed64bc5ce2b934dd6e8c284b67af90e1b35ce1fc568bdf Headquarters The form must be notarized and the fee is $15.00 per record check, which should be a money order or cashier"s check made payable to the Department of Public Safety. \par \tab \hich\af5\dbch\af31505\loch\f5 \par \tab \hich\af5\dbch\af31505\loch\f5 (4) A covered contractor may provisionally supply a covered individual to a covered provider while clearance is pendin\hich\af5\dbch\af31505\loch\f5 g. Cannon Health Building Process & Instructions for New Screenings. No hard copies of clearances will be required of programs, as all clearance information will be maintained in the DACS program. Once the application, forms and fees have been submitted to UDAF, UDAF will send the applicant a "Live Scan Fingerprint Authorization Form" to continue the process. Signs a criminal background screening authorization form which must be available for review by the department; and . ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff \lsdsemihidden1 \lsdunhideused1 \lsdqformat1 \lsdpriority39 \lsdlocked0 TOC Heading;\lsdpriority41 \lsdlocked0 Plain Table 1;\lsdpriority42 \lsdlocked0 Plain Table 2;\lsdpriority43 \lsdlocked0 Plain Table 3;\lsdpriority44 \lsdlocked0 Plain Table 4; This needs to be obtained prior to submitting the application to the office and the results included with the application to the Office. Criminal Records | DPS - Criminal Identification (BCI) DAR File No. 43003 (Rule R432-35), 2018-13 Utah Bull. (07/01/2018) \par \tab \hich\af5\dbch\af31505\loch\f5 (7) "Covered individual": \par \tab \hich\af5\dbch\af31505\loch\f5 (c) is\hich\af5\dbch\af31505\loch\f5 not a licensed health care facility within the state. Exclusion from Direct Patient Access. DACS | Division of Licensing and Background Checks - Utah \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table List 7;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table List 8;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table 3D effects 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table 3D effects 2; \par Employment/Volunteer Background Checks | DPS - Criminal Identification {\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);} \par \tab \hich\af5\dbch\af31505\loch\f5 (c) a hospice; Prior Authorization - Utah Department of Health Medicaid e. \hich\af5\dbch\af31505\loch\f5 ety and health of patients or residents. f9c6b10f3e4ebfe3566c25ab6b763a8792c9f14e7f7308b7dbd50c195f904fbfa919a175fa04431dd9cf58b73dcd6d4fe3ffdff73487f6f36d2773a8dfb8ed64 employer may choose to submit the Employer Background Screening Request along with a Worker Registration form, photocopy of social security card and required registration fee, by mail to the Missouri Department of Health and Senior Services, Fee Receipts Unit, P.O. 7aca147a3e08ad9246bbf33e1637f535c8ede6069a9a9982a6de65cf6f35430899395af5fc251c1ac363b282d811ea3717a211dcbccc25cf36fc4d32cb8a0b39 Us department of justice criminal background check. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Simple 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Simple 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 2; 13. Prints will remain active for 60 days to allow for re-employment in a licensed setting. (2) The covered provider must ensure that the engaged covered individual: (a) Signs a criminal background screening . \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 Authorizing, and Implemented or Interpreted Law: 26-21-9.5}{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 ;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 }{\listlevel\levelnfc0\levelnfcn0\leveljc0 \par 910 E Sioux Ave. Pierre, SD 57501. How do I Renew my Concealed Firearm Permit? Email: dhslicensing@utah.gov, HotlinesAbuse/Neglect of Seniors and Adults with Disabilities Until the Office of Licensing has approved the screening, an applicant shall have no direct access to a child or vulnerable adult. The FBI will contact appropriate agencies in an attempt to verify or correct challenged entries for you. \lsdpriority66 \lsdlocked0 Medium List 2 Accent 4;\lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 4;\lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 4;\lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 4;\lsdpriority70 \lsdlocked0 Dark List Accent 4; {\*\rsidtbl \rsid2757304\rsid7565795\rsid14438297}{\mmathPr\mmathFont34\mbrkBin0\mbrkBinSub0\msmallFrac0\mdispDef1\mlMargin0\mrMargin0\mdefJc1\mwrapIndent1440\mintLim0\mnaryLim1}{\info{\operator Michael Broschinsky}{\creatim\yr2020\mo4\dy22\hr14\min21}
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