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Online Submission | This version of the form can be
completed online and e-mailed to the PCRB. You must have an installed copy of the Adobe Acrobat Reader version 9.0 or higher on your computer. Download the Free Acrobat Reader. In order to e-mail the form to the PCRB you must have a configured E-mail Client (such as Microsoft Outlook, Outlook Express, Lotus Notes, etc) installed on your computer. |
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Manual Submission | This version of the
form can be completed online, printed and mailed or faxed to the PCRB You must have an installed copy of the Adobe Acrobat Reader version 5.0 or higher on your computer. Download the Free Acrobat Reader. The form must be mailed to: Attention: Experience Rating Or faxed to: (215) 320-4555. |