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Whenever you go out, like to the Grocery Store or a Restaurant or a Pharmacy, etc..., and a CoVAX Nazi is demanding a CoVAX "Passport" or if you can't wear a mask for "Medical Reasons" (Like COPD) and they DEMAND you wear one or any other way they want to compromise the Privacy of YOUR medical status, whip one of these forms out, RIGHT then and there, and start filling in the Name of the Business and the Name of the INDIVIDUAL. MAKE them aware of WHAT you are doing and WHY. Inform them that this form will be submitted to: Centralized Case Management Operations U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Room 509F HHH Bldg. Washington, D.C. 20201 (By LAW, HHS MUST investigate EVERY Complaint submitted) For EACH Violation, the INDIVIDUAL representing the Business AND the Business itself WILL be assessed a FINE for a Tier 3 HIPPAA Violation that ranges from $10,000.00 to $50,000.00. Repeated Violations of this type will move the entities concerned to Tier 4 status where the FINES increase to a $50,000.00 MINIMUM per Violation. (In 2021, the Department of HHS assessed over 260 MILLION dollars in FINES to businesses and individuals violating the HIPPAA Law.) https://www.cdc.gov/phlp/publications/topic/hipaa.html