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G3133 EXHIBIT CCGC EXHIBIT PROFESSIONAL / SUPPORT STAFF VOLUNTARY TRANSFER OF ACCRUED ANNUAL OR SICK LEAVE AUTHORIZATION TO DISCLOSE HEALTH INFORMATION Name of Patient Last First MI I authorize the

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The g-3133 gccg-ec exhibit exhibit is a form required by the Securities and Exchange Commission (SEC) for certain filings.

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Companies or entities that are submitting specific filings to the SEC are required to file the g-3133 gccg-ec exhibit exhibit if applicable.

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The g-3133 gccg-ec exhibit exhibit may require the reporting of specific details, documents, or supplemental information related to the main filing.