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College or University Technical or Vocational Did you graduate or receive a GED. To GRADUATED Yr. Mo. NAME Last First Middle AGE DATE OF BIRTH SOCIAL SECURITY NO. TX. DRIVER S LIC. NO. RELATIONSHIP 5. HEALTH A. Texas Dept of Family and Protective Services Form 2982 July 2010 1 of 4 PERSONAL HISTORY STATEMENT Texas law gives you the right to know what information is collected about you by means of a form you submit to a state government agency. D.A. credential. All original documentation will...
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