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Gov NON-TRADITIONAL ENTITIES Authority For Release Of Information I, GID-053-NT FEB11 (same as GID-0

Gov NON-TRADITIONAL ENTITIES Authority For Release Of Information I, GID-053-NT FEB11 (same as GID-0 2025

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The document is a waiver form from the Office of Insurance and Safety Fire Commissioner in Georgia, allowing the office to conduct a background investigation on an individual applying for licensure or a permit. The applicant consents to the release of their personal information and acknowledges the office's discretion regarding confidentiality. It includes sections for signatures, witnesses, and notary acknowledgment.

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