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If you choose fax or email as the option to submit your application and/or required additional information, you must include the following information on each page you submit: First and Last Name Recruitment Number (located at the top of the bulletin) The last 4 digits of your SS# Fax: 410-974-5249 This fax number is for Comptroller of Maryland recruitment efforts only

The metaphor describes a river in which there are upstream, or preventive, factors that either cause or prevent an individual from developing a condition and downstream factors, treatments, that come into play once the condition is developed (Krieger 2011)