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Form 1-A
GENERAL INSTRUCTIONS. I. Eligibility Requirements for Use of Form 1-A. This Form is to be used for securities offerings made pursuant to Regulation A (17
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EMPLOYMENT STATUS CHANGE (FORM-1A)
Use this Form-1A for all employment status changes including retirement. If enrolling in GIC health insurance coverage for the first time at retirement, you
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GEORGIA DEPARTMENT OF LABOR EMPLOYER
READ INSTRUCTIONS BEFORE COMPLETION OF FORM. 1. ENTER OR CORRECT BUSINESS NAME AND ADDRESS. RETURN ORIGINAL WITHIN 10 DAYS. GEORGIA DOL. ACCOUNT NUMBER.
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