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OFFICIAL REQUEST FOR CUSTOMER RECORDS Pursuant to GrammLeachBliley Act (ALBA)(15U. S.C.6802(e)(8); and 15U. S.C. 6802(e)(3)(B)) and Florida Statutes 415.1045(4)(a): I, an Adult Protective Services

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Sample form - national is a standardized form used by individuals or businesses to report national level information to the appropriate government agency.

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