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AK Form 211: What You Should Know

John W. Binman, Deputy Director Whistleblower Office COPYRIGHT NOTICE: This form is protected by intellectual property, and is intended to be, and is subject to the same legal protection that other federal agency and private-sector forms are protected by. Your use of this form (or your photocopy of this form), by you, or any person under your direction is entirely at your own risk. We will not be liable for any use or misuse of this information. No employee of the IRS (a “you”) who uses this information to prepare or file a return or to provide information to us will hold the IRS liable for any damages or loss resulting from your use of information prepared or obtained by that you, or from your acts or omissions in using this information. You are not authorized to use or distribute any other form of software code or computer program written in or capable of disassembly for the purpose of modifying or executing the computer program. We may restrict the use of this data to authorized use by the individual or entity who prepared or submitted this form. In the case that an individual or entity is not authorized to prepare or submit the form or to use or distribute the form, this notice or a notice similar in content to this notice will be given to such individual or entity by us in lieu of this notice. Each use or distribution of the form constitutes an agreement in which you, or the entity on whose behalf the use or distribution is made by you, grants to FINRA a non-exclusive license to use, distribute, modify, adapt, or prepare derivatives of the form. You (or the entity on whose behalf the use or distribution is made by you) agree that in using the form, FINRA is free to copy, adapt, and otherwise develop such form for any purpose that does not violate this notice, including without limitation, for the provision of an electronic form, an audit trail form, form responses, forms for use by the Office of the Inspector General or others, for the preparation of other forms, and the provision of other forms designed to be used in connection with electronic processing.

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