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FEECBC FORM R405 Upload
    NOTE: All fields are required.

  Year:   Quarter:

  County: (if multiple, select first alphabetically)
    

  Jurisdiction number:
    

  Submission by:
    

  Contact Email:
    

  Estimated # of Form R405:
    

Please upload your 300dpi scanned Adobe Acrobat Form R405 files in .pdf or .zip pdf files.
If you have single form R405 .pdf files, please zip them into a single file before submitting.
(use alphanumeric character only in naming files)

   File:
   File:
   File:
   File:
   File: