CODE OF ETHICS
POLICY:
HOH / SS requires that all
employees, officers and directors comply with all laws, rules,
regulations and contractual agreements and that they conduct
themselves in accord with the highest ethical standards. This Code
will help our employees understand some specific laws they are bound
to obey as well as contractual obligations that require State and
Federal monitoring. Employees are expected to use good judgment and
common sense in seeking to comply with all applicable laws, rules,
contractual agreements and regulations and to ask for advice when they
are uncertain about them.
This Code is intended to
serve as a guide for employee’s ethical conduct and as a basis for the
resolution of issues when the conduct of an employee is alleged to
deviate from the standard expressed in this Code.
The Code represents
standards of ethical behavior in professional relationships with those
we serve, with all personnel, with individuals in the community,
vendors, and other professionals. It also embodies specific standards
of ethical behavior governing conduct by counselors.
Employees are expected to
view ethical responsibility in an inclusive context. As each
situation unfolds and ethical judgment is required, the employee is
expected to take into consideration the principles in this Code where
ethical judgment is being exercised and professional intervention is
planned. The course of action that the employee chooses is expected to
be consistent with the spirit of as well as the Code.
CONFIDENTIAL AND
PROPRIETARY INFORMATION
The use of PROPRIETARY
INFORMATION obtained as a consequence of employment may only be used
in the proper conduct of HOH / SS business. Neither HOH / SS, a
member of the Board of Trustee, nor any employee may use, or permit
others to use, proprietary information for the purpose of furthering a
private interest or as a means of making a profit.
All information about our
persons served is CONFIDENTIAL INFORMATION and must never be disclosed
to outsiders without a written authorization. Persons served
information is protected by federal and state statutes and
regulations. Records of the counseling relationship, including
interview notes, test data, correspondence, computer-stored
information, progress notes, and other documents, are to be considered
part of the records of HOH / SS. Disclosure of persons served
protected health information may occur only with the expressed,
written consent of the person served and only after appropriate
authorization forms have been fully completed and signed. All
requests for person served records are subject to review by the
Records Custodian.
Staff members should
respect the privacy of persons served and hold in confidence all
information obtained in the course of their professional service to
persons served.
HONEST AND ETHICAL
CONDUCT AND FAIR DEALING
Employees, officers and
trustees should endeavor to deal honestly, ethically and fairly with
the organization’s vendors, persons served, competitors and employees.
Statements regarding the organization’s services must be true, honest
and not misleading. Employees, officers and trustees must not take
unfair advantage of anyone through manipulation, concealment, or abuse
of privileged information.
PROTECTION AND PROPER
USE OF CORPORATE ASSETS
Employees, officers and
directors should seek to protect the Company’s assets. Theft,
carelessness and waste have a direct impact on the financial
performance of HOH / SS. Employees, officers and directors must use
the assets and services of HOH / SS solely for legitimate business
purposes.
ACCURACY OF BOOKS AND
RECORDS AND PUBLIC REPORTS
Employees, officers and
directors must honestly and accurately report all business
transactions. Each individual is responsible for the accuracy of
his/her records and reports. Accurate information is essential to the
organization’s ability to meet legal and regulatory obligations.
All HOH / SS books, records
and accounts shall be maintained in accordance with all applicable
regulations and standards and accurately reflect the true nature of
the transactions they record. The financial statements of HOH / SS
shall conform to generally accepted accounting principles and rules
and HOH / SS accounting policies and procedures. No false or
misleading entries shall be made in HOH / SS books, records or
clinical documentation for any reason and no disbursement of corporate
funds or other corporate property shall be made without adequate
supporting documentation.
It is the policy HOH / SS
to provide full, fair, accurate, timely and understandable disclosure
in reports.
DISCRIMINATION
It is against the law to
discriminate against an employee, intern, or persons served on the
basis of race, color, sexual orientation or gender, age, national
origin, disability, or other protected status. Every employee has a
responsibility to prevent and eliminate discrimination. HOH / SS
understands and appreciates the value that diversity contributes to
our organization. Mutual respect is a core value of our organization.
CONFLICT OF INTEREST
Employees, officers,
directors and trustees must act in the best interests of the
organization and must refrain from engaging in any activity or
personal interest that presents a “conflict of interest.” A conflict
of interest occurs when personal interest interferes, or appears to
interfere, with the welfare of the organization. A conflict of
interest can arise whenever you, as an officer, director, trustee or
employee, take action or have an interest that prevents you from
performing your duties and responsibilities honestly, objectively and
effectively.
Officers, directors,
trustees or employees should not
have independent relationships with those who do business with HOH /
SS and should not use our property for their personal benefit.
RELATED PARTIES
Avoid conducting the organization’s
business with related parties, that is, with a relative or significant
other, or with a business in which a
relative or significant other is associated in any significant role.
Because the possibility that a conflict of interest may exist is
greatest when executive officers or trustees are involved in a
business transaction with the organization, such transactions are
generally discouraged.
If such a related party
transaction is unavoidable, the organization’s Corporate Compliance
Officer must be informed of the nature of the transaction. The most
significant related party transactions, particularly those involving
HOH / SS executive officers or trustees must be reviewed and approved
by the Board of Trustees. Full disclosure will be made to the external
CPA for disclosure in the audited financial Statement.
BUSINESS TRANACTIONS
All employees should avoid
representing HOH / SS in any transaction with any person or
organization with which the employee, or any member of the employee's
family, has any connection or in which he owns a substantial interest.
Employees who serve as an
officer or a board member of any other organization shall not
represent HOH / SS in any transactions with that organization.
All transactions with
outside vendors should be conducted on a business-like basis in the
best interest of HOH / SS. Decisions should be governed by a
customer-business relationship and not by personal friendship.
CIVIC ACTIVITIES
Active participation by
employees in religious, community, professional or charitable
organizations is encouraged. Approval is not required to participate
in or accept appointment as a trustee, director or officer of a
non-profit organization unless there is a potential conflict of
interest between the organization and HOH / SS. Participation should
not include representing the policies or views of HOH / SS.
POLITICAL ACTIVITIES
Employees are encouraged to
participate in political activities on their own time and in
accordance with their individual desires and political preferences.
However, it must be clear at all times that an employee's
participation is done as an individual and not as a representative of
HOH / SS. Before the employee becomes a candidate or appointee to a
public office, the employee must advise his or her supervisor.
FIDUCIARY ACTIVITIES FOR
PERSONS SERVED
Employees must not accept
appointment as executor, administrator, guardian, trustee or act in
any similar fiduciary capacity for another employee or person served
unless the appointment arises out of a relationship with a member of
the employee's immediate family. Approval for an exception to this
policy shall not imply that an employee is serving at the direction or
request of HOH / SS.
OUTSIDE EMPLOYMENT AND
AFFILIATIONS
No outside activity shall
interfere or conflict with the interests of HOH / SS. Acceptance of
outside employment, election to directorships of other organizations,
and participation in the affairs of outside organizations may pose a
conflict of interest.
Employees should avoid
outside employment or participation in activities that would divert
their time, interests or talents from their responsibilities HOH / SS.
Of particular concern is when off duty work activities are such as to
reflect unfavorably on the employee, fellow employees, or HOH / SS in
general. Outside employment includes services performed both for wages
and for fees. HOH / SS employees must obtain prior approval from the
Chief Executive Officer before undertaking outside employment or
participating in an activity that could be deemed in conflict with the
operating philosophy of the organization or in conflict with the
employee's specific job responsibilities.
No staff member of HOH / SS
will be a director or officer of any other treatment facility or any
other entity which competes directly or indirectly with HOH / SS
without prior approval of the Chief Executive Officer, and/or the
Board of Directors, whichever is appropriate.
Outside activities that may
create a conflict of interest include:
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Being employed by a business or personally engaging in any activity
that is competitive with HOH / SS.
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Using HOH / SS equipment, supplies, files, letterhead, or
facilities for purposes other than HOH / SS related activities.
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Personal conduct involving the use of mood altering substances or
gambling activities outside of work hours which may prove
embarrassing or reflect adversely on HOH / SS.
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Statements or circumstances that may imply sponsorship or support
by HOH / SS of an outside employer or of a political, charitable,
civic, religious, or similar organization when such is not the case.
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Private professional, technical, or counseling services, when these
activities are done for people other than immediate family and when
they may be in competition with services performed by HOH / SS.
COOPERATION WITH LAW
ENFORCEMENT
Federal and state agencies
have broad rights to investigate matters involving persons served care
and billing. Employees shall cooperate with enforcement investigations
and activities within the bounds permitted by law. Any employee who is
contacted, orally or in writing, at home or at work, by a person
stating that he or she is investigating on behalf of the government or
an insurer, may refer the investigator to the Corporate Compliance
Officer or legal counsel. Employees who are presented with a subpoena,
warrant, or court order have the right to an attorney when speaking
with a government investigator. The Corporate Compliance Officer or
legal counsel will coordinate the disclosure of documentation.
Employees who elect to speak with an investigator should tell the
complete truth.
MARKETING
It is prohibited to pay for
person served referrals. Payment can be anything of value, such as a
discount or free service or equipment. Employees should avoid
receiving or giving gifts of more than token value to those who can
refer persons served or business to HOH / SS.
HOH / SS may use marketing
and advertising activities to educate the public, provide information
to the community stakeholders, increase awareness of our services, and
to recruit colleagues. HOH / SS will present only truthful, fully
informative, and non-deceptive information in these materials.
Antitrust laws are designed
to create a level playing field in the marketplace and to promote fair
competition. These laws could be violated by discussing HOH / SS
business with a competitor, such as how HOH / SS fees are set,
disclosing the terms of vendor relationships, allocating markets among
competitors, or agreeing with a competitor to refuse to deal with a
vendor. Employees should not engage in discussion or consultation with
competitors relating to prices or terms. Any agreement or
understanding with a competitor to divide markets is prohibited. This
prohibition includes an agreement allocating shares of a market among
competitors, dividing territories, or dividing service lines or
consumers.
Any agreement with
competitors to boycott or refuse to deal with a particular person or
persons, such as a vendor, payer, or other health care provider is
prohibited.
BILLING
When claiming payment for
services, HOH / SS has an obligation to our persons served, third
party payers, and the state and federal governments to exercise
diligence, care, and integrity. HOH / SS is committed to maintaining
the accuracy of every claim. Employees are expected to monitor
compliance with applicable billing rules and established coding
guidelines. Any false, inaccurate, or questionable claims should be
reported immediately to a supervisor or the Corporate Compliance
Officer.
It is against the law to
knowingly submit false claims for payment. Submitting a false claim
may include using the wrong billing codes, falsifying the treatment
record, or billing for services that are not provided or are not
therapeutically necessary. Violations of these laws can be punished by
fines, prison, or both. The policy of HOH / SS is to bill accurately
and only necessary treatment services that are provided and
documented.
NONPROFIT STATUS
HOH / SS is tax-exempt
501(c)3 because of our charitable mission. A tax-exempt entity may not
permit insiders (directors or officers who can influence organization
decisions) to benefit personally from dealing with the organization.
Nor may any private person (insider or not) receive a benefit from the
organization beyond what is necessary to let the organization fulfill
its mission (e.g. employees may be paid a fair salary). Those HOH / SS
does business with should not receive more than fair market value for
the goods or services they provide. Violation of the tax rules can
result in loss of HOH / SS tax exemption status or can cause the IRS
to penalize the person receiving an excess benefit and the personnel
who approved the payment.
WASTE DISPOSAL
HOH / SS will comply with
various environmental laws in the way it disposes of medical waste and
other hazardous materials. Employees should follow the Health & Safety
Manual – Hazard Waste Procedures.
CONTROLLED SUBSTANCES
Federal and state laws
affect the handling and dispensing of controlled substances, including
narcotics. HOH / SS will not tolerate unauthorized distribution or
possession of controlled substances. Anyone having knowledge of a
violation of this policy or the law should report it promptly, or may
be subject to immediate dismissal.
EMPLOYEE INTEGRITY AND
COMPETENCE
Employees shall be
dedicated to maintaining high standards of professional competence and
integrity.
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Employees who (a) are convicted of felonies, (b) are convicted of
misdemeanors related to their qualifications or functions, (c)
engage in conduct which could lead to conviction of felonies or
misdemeanors related to their qualifications or functions, (d) are
expelled from other professional organizations, or (e) have their
licenses or certificates suspended or revoked, are subject to
termination of employment.
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Employees shall seek appropriate professional assistance for
personal problems or conflicts that are likely to impair their work
performance or their clinical judgment.
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Employees shall not engage in verbal, emotional or behavioral
harassment of persons served, trainees, interns or colleagues.
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Employees shall not attempt to diagnose, treat, or advise persons
served on problems outside the recognized boundaries of their
competence.
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The solicitation or acceptance of commissions, fees, or gifts of
monetary value on the part of an employee from persons served,
vendors, or any other source as compensation for the performance of
HOH / SS duties, is unethical, improper and, in some cases, illegal.
Consideration for an appropriate gift must include: the persons
served motives, the effect on their treatment, the value of the
gift, the effect on the therapeutic relationship, and the context
within which it is given.
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Engaging in any form of financial agreement such as lending or
borrowing money or making a monetary investment with a persons
served either during treatment or after discharge from treatment is
improper and a misuse of influence.
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If an employee is unable to be of professional assistance to the
persons served or perceives an ethical conflict, the employee must
share the concerns with his supervisor. The supervisor will
determine the most appropriate action to be taken.
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Employees will not engage in personal relationships with persons
served of HOH / SS, including dating, sexual relations, or
fraternizing. A dating relationship with a persons served is highly
unethical. Exceptions exist only when a committed relationship was
established prior to a persons served admission for services. It is
the employee's responsibility to report such relationships to
clinical staff, and they are to exclude themselves from direct
services to the person served whenever possible. It is ill-advised
to ever engage in friendship or sexual relationships with former
persons served, regardless of how much time has passed.
ETHICAL RESPONSIBILITY
TO COLLEAGUES
Employees shall treat
colleagues with respect, courtesy, fairness and good faith.
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The employee should cooperate with colleagues to promote
professional interests and concerns.
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The employee should respect confidences shared by colleagues in the
course of their professional relationships and transactions.
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The employee should create and maintain conditions of practice that
facilitate ethical and competent professional performance by
colleagues.
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Any employee having knowledge of unethical practices on the part of
another colleague should report such practices to a supervisor or
the Corporate Compliance Officer.
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An employee who replaces or is replaced by a colleague should act
with consideration for the interest, character, and reputation of
that employee.
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The employee should extend to colleagues of other professions the
same respect and cooperation that is extended to coworkers.
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The necessity to confront colleagues regarding unethical or
substandard treatment practice can contribute significantly to
overall quality of professional services. In the event a colleague
is using drugs, alcohol, or exhibits other addictive behaviors,
which display impairment or distress in their work performance,
direct confrontation is essential. Employees are encouraged to
self-disclose their personal addiction and emotional problems to
supervisors in an effort to receive rehabilitation services.
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The employee should be mindful that attitudes and behaviors that
are negative in nature adversely affect the workplace and HOH / SS.
Therefore, all grievances, whether personal, procedural, or policy
related should be directed to those in supervisory positions.
Employees may initiate a formal grievance procedure.
ETHICAL RESPONSIBILITY
TO HOUSE OF HOPE/STEPPING STONES
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Employees should adhere to commitments made to HOH / SS.
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Employees should work to improve the efficiency and effectiveness
of HOH / SS services and to follow policies and procedures.
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Employees should use the resources of HOH / SS with scrupulous
regard and only for the purpose for which they are intended. Every
employee has a responsibility to protect the assets of HOH / SS
against loss, theft, and misuse.
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Employees are expected to maintain complete and open communication
with
management regarding HOH / SS matters. No employee will deliberately
conceal information or mislead management auditors or counsel.
COUNSELING RELATIONSHIP
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A counselor's primary duty is to respect the rights and integrity
and promote the welfare of the persons served, whether the persons
served is assisted individually or in a group. In a group setting,
the counselor assumes responsibility for protecting individuals from
physical or psychological suffering resulting from participation in
the group.
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In a group counseling setting, the standard of confidentiality
should be firmly established regarding all participants'
disclosures. Persons served information should be shared with
colleagues or other staff members on a need to know basis.
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If an individual is already in a counseling relationship with
another professional, the counselor does not enter into a counseling
relationship without first contacting the other professional and
also obtaining proper releases for the exchange of relevant
information regarding the person served. If the counselor discovers
that the person served is in another counseling relationship after
the counseling relationship begins, the counselor must gain the
consent of the other professional or terminate the relationship,
unless the person served elects to terminate the other relationship.
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When the persons served condition indicates that there is clear and
imminent danger to self or others, including the abuse or neglect of
children, the elderly, or the developmentally disabled, the
counselor must take reasonable action to prevent harm and/or inform
responsible authorities. The Clinical Director or Chief Executive
Officer must be consulted when possible. The assumption of
responsibility for the persons served behavior must be taken only
after careful deliberation. The person served must be involved in
the resumption of responsibility as quickly as possible.
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In recognition of the fact that the relationship between counselor
and persons served is one in which the utmost discretion, good
judgment and ethical behavior is of paramount importance, certain
restrictions as to the scope of that relationship need to be
carefully outlined and adhered to. This needs to be done in order to
ensure the relationship's integrity and therapeutic soundness.
Therefore, activities such as in-kind payment for services (i.e., a
persons served offering free meals at a restaurant to a counselor in
exchange for counseling services), any financial transactions
between counselor and persons served such as lending/borrowing
money, entering into loan agreements, formation of social
relationships secondary to the ongoing therapeutic relationship, or
the sponsoring in a 12-Step program of active persons served are all
considered to be unethical and are not to be engaged in by the
counselor.
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If the counselor has other relationships, particularly of an
administrative, supervisory, and/or evaluative nature, with an
individual seeking counseling services, the counselor must not serve
as the counselor but should refer the individual to another
appropriate clinical staff member. Only in instances where such an
alternative is unavailable and where the individual's situation
warrants counseling intervention should the employee enter into or
maintain a counseling relationship. Dual relationships with persons
served who are close friends or relatives may impair the counselor's
objectivity and professional judgment and therefore must be avoided.
In such cases, the person served will be referred to another
clinical staff member.
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Counseling staff have a duty of care to persons served. Once a
person served is admitted or involved in an ongoing counseling
relationship, the counselor shall provide the care necessary
regardless of the source or type of payment. Clinical care and
judgment must be based upon the clinical needs of the persons
served. When financial considerations arise, the counselor shall
base recommendations for care solely on the persons served clinical
needs and refer financial issues to a director or the Chief
Executive Officer.
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Because the counselor's primary responsibility is to provide
clinical services to the persons served, the organization
discourages such outside activities as foster parenting,
facilitation of outside therapeutic groups, or any other activity
that may adversely affect the counselor's job performance at HOH /
SS. It is the obligation of every counselor, when contemplating
participation in such outside activities, to obtain permission from
the Clinical Director.
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Counselors must attempt to prevent the distortion or misuse of
their clinical findings.
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Because of their ability to influence and alter the lives of
others, counselors must exercise special care when making public
their professional recommendations and opinions through testimony or
other public statements.
COUNSELORS'
RESPONSIBLITY TO PROFESSION
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Counselors remain accountable to the standards of the profession
when acting as members or employees of organizations.
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Counselors recognize a responsibility to participate in activities
that contribute to a better community and society.
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Counselors should be concerned with developing laws and regulations
pertaining to their field that serve the public interest, and with
altering such laws and regulations that are not in the public
interest.
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Counselors recognize the need for continuing education and are open
to new procedures and changes in expectations and values over time.
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Counselors recognize that personal problems and conflicts may
interfere with professional effectiveness. Accordingly, they refrain
from undertaking any activity in which their personal problems are
likely to lead to inadequate performance or harm to a persons served
or colleague. It is the counselor's obligation to bring such
conflicts to the attention of their immediate supervisor so that a
determination can be made as to whether they should suspend,
terminate or limit the scope of their professional activity.
INTERPRETATION OF CODE
OF ETHICAL CONDUCT
Difficult questions of
judgment may arise in connection with the Code of Ethical Conduct. If
any doubt exists regarding the propriety of any action or activity,
the employee should seek advice and written approval from the Chief
Executive Officer, or the Corporate Compliance Officer. All employees
are expected to promptly report the existence of any relationships,
interests, or actions which might violate or appear to violate the
Code of Ethical Conduct.
EMPLOYEE TRAINING:
New employee will be
trained on the Code of Ethical Conduct prior to starting work in any
program of the HOH/SS.
After receiving training,
employees will sign and date documentation of training as well as
attestation to their intent to conform to the Code of Ethical Conduct
in all HOH / SS settings.
All employees of HOH/SS
shall receive a minimum 1 hour of training annually to review updates
on the Code of Ethical Conduct.
VIOLATIONS OF CODE OF
CONDUCT
Any suspected violations of
the Code should be referred to the Chief Executive Officer or
Corporate Compliance Officer. Violations of the Code are grounds for
discipline or dismissal. Disciplinary actions are outlined in the
Guide for Disciplinary Action Policy. In situations where
infractions of the Code may have violated federal or state law, such
infractions will be disclosed as appropriate and reported to
enforcement agencies as required.
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