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STATE OF MINNESOTA <br />Department of Human Serviee�- <br />Department of Corrections <br />Divisions of Licensing <br />q� <br />Under Minnesota Sta,tuties, section 176.182, the Department. of Human Services (DHS) and the Department <br />of Corrections (D01C) are prohibited from issuing or renewing a license until the applicant presents <br />acceptable evidence of compliance with the worker's compensation insurance requirement of section <br />1, 7'6.18 1,,. subdivision 2, <br />Under, the Minnesota Govemment Data Practices Act, we must advise, you that: <br />a DHS or D01C may supply this information to the Department of Labor and Indus". <br />0 Failure to supply fluis Information may be a basis to deny the issuance of your license. <br />M,S-2064-,ENG <br />2�-�05 <br />