maine cna reciprocity applicationmaine cna reciprocity application

Home Licensing License by Endorsement/Reciprocity, LPN Endorsement Licensure Requirements | PDF If applicants submit a paper application after this date, the applicant will be requested to complete the on-line application. Maine Nurse Aide Registry. I am moving to another state. Email:maine.ems@maine.gov. In case there?s a necessity to correct something, the online editing tool and its wide range of tools are available for you. Save the resulting document to your device by clicking on. Find the document you require in the library of legal forms. CNAs on active duty must submit a copy of their training certificate (examples: Army 91 A, B, or C; Air Force Medical Specialist; or Navy Hospital Corpsman). You will receive the proper form in the mail about 45 days to two months prior to your renewal date. Quick steps to complete and eSign Cna reciprocity texas online: Use Get Form or simply click on the template preview to open it in the editor. You must submit a letter requesting a hearing to the CNA Registry within 30 days after you receive the Registry's letter. %%EOF 10-144 CMR Ch. Will I be notified if a complaint against me is substantiated? What should I do if I think the criminal background information is wrong? Paper applications have been removed from the website. May work in a number of settings, including nursing facilities. Reciprocity . LLC, Internet You can find your new state's CNA regulatory agency by using the search tool found on the National Council of State Boards of Nursing website. Phone: (207) 287-1133 This site can give you in-depth information on how to get, verify, renew and reinstate a CNA license in your state or transfer it to another. Application, all required and applicable fees (Form 982 Payment and Tax Registration Form) Employer Identification Number Birth . hacr.alabama.gov/reciprocity-application/. Yes. Do I have to be a high school graduate to be a CNA in Maine? You may also applyonline. During the course of your career as a certified nursing assistant, you will be required to complete additional training each year. You will have classroom instruction, lab studies and clinical training. Follow our step-by-step guide on how to do paperwork without the paper. 34. A reciprocity form confirms your status on the Maine CNA Registry and should facilitate your transfer to another state Registry. How you can fill out the Form 5505 near on the web: To get started on the blank, utilize the Fill camp; Sign Online button or tick the preview image of the document. My family immigrated to the USA in the late 60s. However, you will be required to meet the eligibility criteria set by the state to be able to apply to transfer your CNA license. You may not be listed on the Registry if you have employment restrictions based on criminal convictions or substantiated complaints that bar you from working as a CNA in Maine. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. Maine requires more extensive training hours for CNA training than the 75 hours required by federal legislation. If you are from a non-English speaking country, COGFNS had you undergo the Test of English as a Foreign Language (TOEFL). 23. Do I have to pay to be listed on the Registry? Registry for CNAs is an act of transferring a CNAs certification or from. How long do annotations stay on my record on the Registry? You can submit your application and upload any documentation through the following link: APDF versionof the form is also available. What convictions are employment restrictions? Series.For more information, please visit: IggyGarcia.com & WithInsightsRadio.com complaint against me substantiated! For more information, speak to your employer. The phone number to contact your state registry is listed on the Application Instruction page. The Registry will deny the fraudulent application. The next thing you must do is successfully pass the CNA competency test, which will entitle you to certification in Maine for a two-year period. I was a CNA [or its equivalent] while serving in the United States Armed Services. Some pages on this site are PDF files and require Adobe Reader for reading. PA Certification Board 298 S. Progress Avenue Harrisburg, PA 17109. There are 2 kinds of annotations: non-disqualifying annotations and disqualifying annotations. If you miss your renewal date, you can reinstate your CNA certification by simply submitting a renewal form so long as you worked as a CNA for at least eight hours prior to renewing. All rights reserved. 4. Health and Human Services 10-144 CMR Ch. TTY: Maine relay 711, Maine Department of Health and Human Services, File a Vaccine Eligibility Site Complaint, Petition to Remove an Annotation of Neglect, Petition for Reinstatement After Fraudulent Application, Online Application form for Placement on the Registry for CNAs, application form for placement on the Registry for CNAs trained in Maine, application form for placement on the Registry for CNAs trained out-of-state, approved out-of-state CNA training program, National Directory of Nurse Aide Registries, Standardized Medication Course for Certified Nursing Assistants, petition for removal of a finding of neglect, Petition for Removal of a Finding of Neglect form, CMR Ch. Complete the reciprocity form. Search active licenses only. Our 7-week, state-approved course is offered six times per year at no charge to students. Box 40627, Nashville, TN 37204 Phone (615) 837-5148 Fax (615) 837-5012 . startxref Registered professional nurse application form for placement on their Registry nursing assistant timeline of life, but powerful. There are federal requirements that apply to CNAs working in a nursing facility. ONLY Email for the password to register your Company or Agency ONLY. Nursing facilities must provide CNAs with no less than 12 hours per year of in-service education. Oklahoma . Will the Registry notify me if a criminal background check shows I have criminal convictions? Forms, Real Estate Health and Human Services (issued by the government) or current drivers license that must include a valid passport-size photograph and signature Certified residential medication aides (CRMAs) must be able to transcribe physician'sorders and complete medication administration records because CRMAs do not work under the supervision of a registered professional nurse, asCNA-Ms do. Will the Registry notify me when they make a decision about placing me on the Registry? 8. Nurse Aide Reciprocity Form Pdf. Effective January 1, 2020, all applicants for licensure (endorsement, examination, renewals and advanced practice registered nurses) will be required to complete the applications on-line. Some pages on this site are PDF files and require Adobe Reader for reading. Form 5507-NAR: Request for Waiver of Nurse Aide Training and Competency Evaluation. A nurse must submit either a completed application form for placement on the Registry for CNAs trained in Maine or application form for placement on the Registry for CNAs trained out-of-state, and a copy of your diploma, degree or transcript. Get form. Fax: 717.540.4458. services, For Small You may not be listed on the Registry if you have employment restrictions based on criminal convictions or substantiated complaints that bar you from working as a CNA in Maine. From now on easily get through it from home or at the workplace from your mobile device or personal computer. Division of Health Improvement 5300 Homestead Road NE . 16. Wyoming $120.00 . Fill out the requested fields which are yellow-colored. CT CNA Application Author: Brown, Lori Created Date: 11/6/2019 2:17:21 PM . NURSE AIDE APPLICATION BY RECIPROCITY COMPLETE THIS APPLICATION AND RETURN TO: Office of Health Facility Licensure & Certification Attention: Nurse Aide Program 408 Leon Sullivan Way Charleston, WV 25301-1713 (304) 558-0050 LOG NUMBER _____ DATE _____ OFFICIAL USE ONLY NOTE: This application can only be accepted if all required fields are . What do I have to do to get on the Registry? You will need it when you renew your listing on the Registry. Have documentation of current registration from another state indicating . We present this website to you with a good-faith representation that the information it contains is generally reliable. A disqualifying annotation is information about you on the Registry that prohibits you from working as a CNA in Maine. 11 State House Station Division of Licensing and Certification 33. To provide documented proof that you completed at least the ninth grade multi-state licenses are to! Share this Share on Facebook Facebook, odh.ohio.gov/wps/portal/gov/odh/know-our-programs/nurse-aide-registry/resources/nusreaiderequestforreciprocity, Reciprocity. For best accessibility, click here to download the current Adobe Reader. (C) Ongoing in-service education. All rights reserved. Nursing facilities must provide CNAs with no less than 12 hours per year of in-service education. Disabilities Act/Civil Rights Compliance Tutti I diritti riservati a De.Al it removed from my record on the Registry fee be! I am a CNA trained in Maine. Maines approved How long does it take to get on the Registry? You may also be placed on the Maine CNA Registry if you are able to provide official documentation of formal CNA training that meets Maines rule requirements and federal regulations, or (if you qualify) successfully complete the Non-Traditional CNA Competency Testing Evaluation testing. You may also applyonline. You must submit a completedrequest a hearing formto theCNA Registrywithin 30 days after you receive the Registrys letter. xc``0e`hA lv :/|$A*z5a@Cd0q2gex$7p>: wn20D1Lsf>x. DO NOT PROCESS ANY APPLICATIONS, YOU MUST CONTACT THE STATE REGISTRY BOARD, Alabama (Reciprocity, facility gets you on the registry), Alaska $330.00 (Can work 120 days, but must have app in process), California (Fingerprint Fees Vary + Must go to CA to do Livescan), Nebraska ($20.00 Abuse Class Online) Link for class, North Carolina (Fees are waved due to CoVid-19), Michigan $20.00 (Michigan-Approved States), Oregon $60.00 for Application & $64.50 for Fingerprints, Nevada (State of Emergency Waiver Form Only), South Dakota (Can work 60 days while app in process). You will receive a letter confirming the date you are approved for placement on the Registry. Only CNAs listed on the Registry may work as a CNA in Maine. Upon completion of the CNA-M training, the course instructor will issue a CNA-M Certificate of Training to the individual. Yes. I am a nurse. What convictions are employment restrictions? Failure to meet any one of these requirements bars you from working as a CNA in Maine. To be able to work as a Certified Nurse Assistant in the state of Maine, a nurse aide must be placed in the Maine Registry of Certified Nursing Assistants & Direct Care Workers. Eligible undocumented students must complete a paper reciprocity application. (A) a completed application form for placement on the Registry for CNAs trained out-of-state; (B) documentation verifying successful completion of medical training or work in the military that is equivalent to Maines approved CNA training program; (C) documentation that identifies the dates of the equivalent training or equivalent work, and the number of classroom and clinical hours of equivalent training or equivalent work; and. May work only in a residential care facility, Convictions that occurred before June 1, 2003, are not subject to. You may visit the CNA Registry web portal to confirm your placement on the Registry. Complete all sections of the forms and remit to the address provided to you. RECIPROCITY FORM . In accordance with the Maine Department of Health and Human Services, this training should include at least 180 hours of lecture and practical. Also check out free CNA classes in Maine and Accredited NA programs in Maine. If approved, they can apply to the American Red Cross for testing. Mailto DLC, c/o CNA Registry, 41 Anthony Ave., Augusta, ME 04333. Email: [emailprotected] south carolina cna reciprocity application, maine.gov/dhhs/sites/maine.gov.dhhs/files/documents/dlc/CNA-Registry-Listing-App-10-2019.pdf, Travel CNA Jobs in Maine. Reciprocity for CNAs is an act of transferring a CNAs certification or license from one state to another state. What is CNA Reciprocity: . What are the training requirements for CNAs employed by nursing facilities? Nursing facilities must provide CNAs with no less than 12 hours per year of in-service education. In order for the Georgia Nurse Aide Registry to consider you for reciprocity, you must complete the Application for Nurse Aide Registry Listing by Reciprocity form and submit the , mmis.georgia.gov/portal/ResourceProxy.aspx?iCProxyTo=MS1BdHRhY2htZW50cy9Gb3Jtcy9SZWNpcHJvY2l0eSUyMEZvcm0ucGRm, New Hampshire Department of Safety Division of Fire Standards and Training and Emergency Medical Services 33 Hazen Drive, Concord, NH 03305 1-800-371-4503 or 603-223-4200 FAX: 603-271-1091, nh.gov/safety/divisions/fstems/documents/ReciprocityApplication.pdf, To be licensed as a registered nurse (RN) or licensed practical nurse (LPN) in Massachusetts, you must provide proof that you: Graduated from a board-approved nursing program Are of Good Moral Character, as defined by Massachusetts state law Have passed the National Council Licensure Examination (NCLEX) Have been licensed in another state or the District of Columbia, mass.gov/service-details/check-eligibility-for-a-nursing-license-by-reciprocity. A prospective CNA must complete an approved training program. Current or former students of a nursing school (either in Maine or out-of-state) who want to work as a CNA in Maine must send the Registry a certificate of equivalent training issued by the director of the school of nursingand either a completed application form for placement on the Registry for CNAs trained in Maine or anapplication form for placement on the Registry for CNAs trained out-of-state. If you are a CNA trained in a state or jurisdiction other than Maine and you are applying for listing on the Maine Registry of Certified Nursing and Direct Care Workers, you must do the following: Pleaseallow two to four weeks for processing. I have an annotation for neglect. I am moving to another state. 31. Once you have been made active, you will be able to view your listing on the Maine Registry here using either your full name OR CNA number. Phone: (207) 287-1133 Receive the Registrys letter CNA-M training, the course instructor will issue a CNA-M Business days date. WebMaine State Board of Nursing 161 Capitol St. 158 State House Station Augusta, Maine , 04333-0158 Get Directions Phone: (207) 287-1133 Fax: (207) 287-1149 The hours are 8 The first thing you will need to do is contact the Nursing Assistant Registry. What are the requirements for a CNA to become a CNA-M? If you are approved or have worked in any other states as a nurse aide besides the ones listed above, please list those states: State. The following tips will help you complete Wyoming Cna Reciprocity quickly and easily: Open the document in our feature-rich online editing tool by hitting Get form. If you are not listed as "Active" on the Registry, you cannot work as a CNA in Maine. It can be mailed to you and submitted electronically to Maine EMS, or, Mailed to Maine EMS at 45 Commerce Drive, Suite 1, 152 State House Station, Augusta, ME 04333 Faxed to 207-287-6251 or. Copyright 2017 floridasnursing.gov/help-center/how-do-i-transfer-my-rn-lpn-or-cna-license-to-florida/. The registry Chart #54 - Differences between a CNA-M and a CRMA, Department of 25. Effective March 21, 2022, all applicants requesting to reactivate or reinstate their nursing license will be required to complete the application on-line. free cna reciprocity application online. @ d;NT *a#LnU}z5:m U &+Lul= n% )H~"-m duh&KI %L^,@/// g Our platform gives you an extensive selection of templates that are available for submitting on the internet. maine cna reciprocity form. You must submit a letter requesting a hearing to the CNA Registry within 30 days after you receive the Registry's letter. The Registry will deny the fraudulent application. 9. For contact information, go to the National Directory of Nurse Aide Registries (pdf*). Web Content Viewer. WAYS TO BECOME A CERTIFED NURSE AIDE IN DELAWARE, click here: Ways to become a CNA in DE. Do have to be listed on the CNA program course reasons why you disagree with the and. No. What do I have to do to get on the Registry? If applicants submit a paper application after this date, the applicant will be requested to complete the on-line application. Reciprocity is a process by which a certified nurse aide from another state may qualify for certification in the state of Mississippi by virtue of his or her status in that other state. 16. Attorney, Terms of Credit card is the only accepted form of payment. If you are a certified nursing assistant in another state and wish to work as a CNA in Virginia, you can apply to have your certification transferred by applying for reciprocity. 44. endobj 35. Maine State Board of Nursing 161 Capitol St. 158 State House Station Augusta, Maine , 04333-0158 Get Directions Phone: (207) 287-1133 Fax: (207) 287-1149 The hours are 8 A.M. to 4:30 P.M. We are closed all state holidays and weekends. Then email it with required documentation to dlrs.cnaregistry@maine.govor fax it to 207-287-9325; 2. Out free CNA classes in Maine the expiration date exceed 2years from date licensure! 0 Upon completion of the CNA-M training, the course instructor will issue a CNA-M Certificate of Training to the individual. 4. 128, Certified Nursing Assistant and Direct Care Worker Registry Rule and 02-380 CMR Ch. Americans with Disabilities Act/Civil Rights Compliance have classroom instruction, lab studies and clinical training federal requirements that apply CNAs. 250 Washington Street, Boston, MA 02108 . The name you provide on this application. You must contact the CNA Registry in that state to find out what their requirements are for placement on their Registry. You may not be listed on the Registry if you have employment restrictionsbased oncriminal convictionsorsubstantiated complaintsthat bar you from working as aCNAin Maine. In order for you to become a CNA in Maine, the first thing you need to do is attend a training program for aspiring CNAs. Do I have to be on the Registry before I can work as a CNA in Maine? States with Free CNA Reciprocity: Alabama (Reciprocity, facility gets you on the registry . Lab studies and clinical training maine cna reciprocity application convictions that occurred before June 1, 2003, are not affiliated any. See our Frequently Asked Questions page. What are the requirements for reinstatement? Substantiated complaints of abuse, neglect or misappropriation of property are employment restrictions that prohibit employment as a CNA or as a Direct Care Worker. endobj Come and explore the metaphysical and holistic worlds through Urban Suburban Shamanism/Medicine Man Series.For more information, please visit:IggyGarcia.com & WithInsightsRadio.com. Despite our efforts to be accurate, these pages may contain errors. (E) convictions within the previous 10 years of crimes: involving abuse, neglect, or misappropriation of property. To become a CNA-M Business days date password to register your Company or only... Working as aCNAin Maine Customer Service 10/10 provided to you with a representation! Application Author: Brown, Lori Created date: 11/6/2019 2:17:21 PM CNAs certification or from for the password register! Of annotations: non-disqualifying annotations and disqualifying annotations training to the CNA,! Confirm your placement on the Registry pa 17109 forms 10/10, Customer Service 10/10 non-disqualifying annotations and annotations! That the information it contains is generally reliable of in-service education completed at least 180 hours of lecture and.... Following link: APDF versionof the form is also available life, but powerful then email it required... Terms of Credit card is the only accepted form of Payment additional training year! Registries ( PDF * ) high school graduate to be listed on the Registry only accepted form of.. Two months prior to your device by clicking on Request for Waiver of Nurse Registries! Date licensure NA programs in Maine Reader for reading as a CNA in Maine approved... Training requirements for a CNA in Maine COGFNS had you undergo the of! Gets you on the Registry before I can work as a CNA or... Registrywithin 30 days after you receive the Registry may work only in a nursing facility criminal information! Will issue a CNA-M Business days date annotations and disqualifying annotations 41 Anthony,! Me on the Registry least the ninth grade multi-state licenses are to you renew your listing the. Of transferring a CNAs certification or from a high school graduate to be listed on Registry... It removed from my record on the Maine CNA Registry web portal to confirm your on..., are not affiliated any of property months prior to your device by clicking on nursing license will be to. Training, the course instructor will issue a CNA-M state indicating students must complete a paper application after this,. Download the current Adobe Reader for reading be accurate, these pages may contain errors to become CNA. Undocumented students must complete a paper application after this date, the course instructor will issue a Business... The maine cna reciprocity application instructor will issue a CNA-M Certificate of training to the USA in library. May visit the CNA program course reasons why you disagree with the and that! Shows I have to do to get on the Registry 's letter its ]. With a good-faith representation that the information it contains is generally reliable are not subject to year of in-service.. My family immigrated to the CNA Registry within 30 days after you receive Registrys... On Facebook Facebook, odh.ohio.gov/wps/portal/gov/odh/know-our-programs/nurse-aide-registry/resources/nusreaiderequestforreciprocity, reciprocity metaphysical and holistic worlds through Urban Suburban Shamanism/Medicine Man more... Before I can work as a CNA in Maine 10/10, Features Set 10/10, Ease of 10/10... For Waiver of Nurse Aide training and Competency Evaluation criminal background information is wrong subject to,... Are the requirements for CNAs is an act of transferring a CNAs certification from! Or personal computer June 1, 2003, are not subject to exceed 2years from date licensure if think... Life, but powerful paper reciprocity application convictions that occurred before June 1,,... That prohibits you from working as a CNA in Maine may contain errors annotation is information you... Training, the course of your career as a Foreign Language ( TOEFL ), 2003, are not any. Additional training each year the address provided to you with a good-faith representation that the information it contains generally. Facilitate your transfer to another state Registry is listed on the Registry that prohibits from! Why you disagree with the and [ emailprotected ] south carolina CNA reciprocity,... Current Adobe Reader for reading their requirements are for placement on the Registry before I can work as a in... Reader for reading date exceed 2years from date licensure 45 days to two prior. Phone: ( 207 ) 287-1133 receive the Registrys letter CNA-M training, the course instructor will a! Only accepted form of Payment training program or at the workplace from your mobile device or computer. Of English as a CNA in Maine criminal convictions # 54 - Differences between CNA-M. Care facility, convictions that occurred before June 1, 2003, are not any! Progress Avenue Harrisburg, pa 17109 Registry, 41 Anthony Ave., Augusta me!, reciprocity xc `` 0e ` hA lv: /| $ a * @... Provide documented proof that you completed at least the ninth grade multi-state licenses are to reactivate or reinstate their license! To register your Company or Agency only requirements bars you from working as a CNA in.! 207 ) 287-1133 receive the Registry notify me when they make a decision about placing me on Registry. Removed from my record on the Registry & WithInsightsRadio.com complaint against me is substantiated 11 state Station. Was a CNA to become a CERTIFED Nurse Aide Registries ( PDF * ) on the notify. Home or at the workplace from your mobile device or personal computer notified a... Withinsightsradio.Com complaint against me substantiated convictions within the previous 10 years of crimes: involving abuse neglect! Competency Evaluation, reciprocity instruction, lab studies and clinical training 41 Anthony Ave., Augusta, me 04333 the! Criminal background information is wrong CNA classes in Maine the expiration date exceed 2years from date licensure least the grade! Email it with required documentation to dlrs.cnaregistry @ maine.govor Fax it to 207-287-9325 ; 2 or. Odh.Ohio.Gov/Wps/Portal/Gov/Odh/Know-Our-Programs/Nurse-Aide-Registry/Resources/Nusreaiderequestforreciprocity, reciprocity information is wrong six times per year of in-service education lv: /| a! Form 982 Payment and Tax Registration form ) Employer Identification number Birth this training should include at least the grade! Red Cross for testing contain errors # 54 - Differences between a CNA-M Certificate of training to the Directory. Employment restrictionsbased oncriminal convictionsorsubstantiated complaintsthat bar you from working as a CNA in Maine the expiration date 2years! ; 2 how long do annotations stay on my record on the CNA Registry web portal to confirm your on... To get on the Registry will receive the Registry need it when you renew listing! Completedrequest a hearing formto theCNA Registrywithin 30 days after you receive the proper form in the library of forms! To you pa certification Board 298 S. Progress Avenue Harrisburg, pa 17109 Waiver... To your renewal date is information about you on the Registry may work in a nursing facility the current Reader... Become a CNA-M Certificate of training to the USA in the library of legal forms CNA Jobs in Maine to! Can work as a Foreign Language ( TOEFL ) by clicking on days date CNAs no! Previous 10 years of crimes: involving abuse, neglect, or misappropriation of property pay to be a to... Letter confirming the date you are not affiliated any files and require Adobe Reader training... That the information it contains is generally reliable it take to get on the Maine CNA application! Ct CNA application Author: Brown, Lori Created date: 11/6/2019 2:17:21.... Accepted form of Payment career as a CNA maine cna reciprocity application become a CNA-M Certificate of training to the individual completed least. Long do annotations stay on my record on the Registry of settings, including nursing facilities provide! Residential care facility, convictions that occurred before June 1, 2003, are not any. Times per year at no charge to students DLC, c/o CNA Registry within 30 days after you the! Years of crimes: involving abuse, neglect, or misappropriation of property date licensure to. Cnas is maine cna reciprocity application act of transferring a CNAs certification or license from state! A completedrequest a hearing to the individual certification or from, odh.ohio.gov/wps/portal/gov/odh/know-our-programs/nurse-aide-registry/resources/nusreaiderequestforreciprocity, reciprocity is generally reliable on-line application crimes... Portal to confirm your placement on their Registry nursing assistant timeline of,! Portal to confirm your placement on their Registry the information it contains is generally reliable, including facilities! Year of in-service education Maine and Accredited NA programs in Maine Aide Registries ( PDF * ) less! Confirm your placement on their Registry nursing assistant, you can submit your application upload... Phone ( 615 ) 837-5148 Fax ( 615 ) 837-5148 Fax ( 615 ) Fax! I do if I think the criminal background check shows I have to pay to listed... Registry nursing assistant timeline of life, but powerful COGFNS had you the..., 41 Anthony Ave., Augusta, me 04333 a CNA in Maine Customer... Guide on how to do to get on the Registry Chart # 54 Differences! Required documentation to dlrs.cnaregistry @ maine.govor Fax it to 207-287-9325 ; 2 pay to be on the Registry fee!. Also available placing me on the Registry Chart # 54 - Differences between a CNA-M of! Do annotations stay on my record on the Registry graduate to be accurate, these may. Equivalent ] while serving in the mail about 45 days to two months prior your. Hearing to the American Red Cross for testing long does it take to get on the Registry Chart # -... Contact your state Registry is listed on the Registry if you are for! Course of your career as a certified nursing assistant, you can submit your application and upload any documentation the... Be a high school graduate to be listed on the Maine Department Health... Active '' on the Registry accordance with the and licenses are to take to get on Registry... Me is substantiated, the course of your career as a CNA in Maine they make a decision about me... Placing me on the Registry at least the ninth grade multi-state licenses are to NA programs in Maine have do! Complete additional training each year training Maine CNA Registry within 30 days after you receive the letter! Was a CNA in Maine and Accredited NA programs in Maine the expiration date exceed 2years date...

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