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Authorized signatures - Oklahoma.gov
signature authority. Reference OAC 260:115-5-13. Submission of this form shall be sent to: CP.Feedback@omes.ok.gov. ☐, Addition, ☐, Deletion. Agency Name
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FAA Form 8710-1, Airman Certificate and/or Rating
Authorized Flight Instructors Signature (Print Name and Sign). Flight Instructor Certificate Number. Certificate Expiration Date. Air Agencys Recommendation.
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ODH 206 Oklahoma Standard Authorization to Use-or-
I understand that by voluntarily signing this authorization: . I authorize the use or disclosure of my PHI as described above for the purpose(s) listed.
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