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STATE OF NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION FOR BETA VIRAL HEALTH 129 PLEASANT STREET, CONCORD,NH 03301Lori A. Weaver6032719544Commissioner18008523345 Ext 9544Fax:6032714332
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Authorize form department is used for gaining authorization for specific actions or access within a department.
Employees or individuals who need authorization for certain departmental actions.
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The purpose is to ensure proper authorization is obtained for departmental activities or access.
Personal information, reason for authorization, and details of the requested action/access.
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