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GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES DESIGNATION FOR OUTSTANDING WAGE PAYMENTS IMPORTANT!! Please, Read Instructions on Reverse Side Before Completing This Form. 1

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How to fill out 1 - Georgia Department:

1. Start by gathering all the necessary information and documents required to complete the form. This may include personal identification, proof of residency, and any relevant supporting documents.
2. Carefully read through the instructions provided on the form. It is important to understand the requirements and provide accurate information.
3. Begin filling out the form by providing your personal details such as your name, address, and contact information.
4. Move on to the specific sections of the form, filling in the requested information in the appropriate fields. Take your time to ensure accuracy and double-check all entries before proceeding.
5. If there are any sections or questions that you are unsure about, do not hesitate to seek assistance. Contact the Georgia Department or any relevant support channels for clarification.
6. Once you have completed all the required sections of the form, review it again to ensure it is correctly filled out and all necessary information is provided.
7. Sign and date the form as instructed. This step is crucial as it validates the information provided and confirms your consent.
8. Make copies of the completed form for your records, if needed, before submitting it to the Georgia Department through the preferred method (e.g., mail, online submission).
9. Keep track of any confirmation or reference numbers provided during the submission process. This will serve as proof of the submission and help you address any inquiries or follow-ups in the future.

Who needs 1 - Georgia Department:

1. Individuals who are seeking assistance or services from the Georgia Department in a specific matter.
2. Residents of Georgia who are applying for a program, license, or support offered by the Georgia Department.
3. Businesses or organizations that are required to submit documentation or forms to the Georgia Department for compliance or regulatory purposes.

Note: The specifics of who needs 1 - Georgia Department may vary depending on the context and the particular form or department mentioned. It is always important to refer to the specific instructions or reach out to the Georgia Department for accurate information.

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