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Authorization For Wage And Salary Information - Georgia

Authorization For Wage And Salary Information Form. This is a Georgia form and can be used in Law Practice Management State Bar Of Georgia Statewide .
 Fillable pdf Last Modified 5/19/2005
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AUTHORIZATION FOR WAGE AND SALARY INFORMATION This authorization or photocopy hereof will authorize you to furnish all information you mayhave regarding my wages or salary while I was employed by you. You are authorized to provide this information in accordance with the Georgia Motor Vehicle Accident Reparations Act. Signature Date Social Security Number
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