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CLEAR PRINT Completion of this form is optional Division of Labor Standards Enforcement Licensing and Registration Unit DECLARATION AND AUTHORIZATION TO RELEASE INFORMATION NAME STREET ADDRESS CITY,
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Completion of this form refers to filling out all the required sections and providing necessary information.
Individuals or entities specified by the governing body are required to file completion of this form.
Completion of this form can be filled out either electronically or manually, following the instructions provided.
The purpose of completion of this form is to gather specific information for regulatory or compliance purposes.
Information such as financial data, personal details, and any other relevant data as required by the governing body must be reported on completion of this form.
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