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DANIEL P. McCoy County Executive DEPARTMENT OF H HEALTH C COUNTY OF A LBANYAssistant Commissioner for Public HealthELIZABETH F. WHALE, MD, MPH175 GREEN STREET ALBANY, NEW YORK 12202SHANNA F. WITHERSPOON,
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Write your personal details accurately, such as your full name, contact information, and identification details.
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Individuals or entities who have received an item or document that belongs to someone else and needs to return it should use the please return original application.
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