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Georgia Dca Income Verification 2017-2023
Release
information.
Please return this form to:
Name & Title:
__________________________________
Address:
__________________________________
Email:
__________________________________
Phone: ____________________________
Fax:
____________________________
Employment Income
ESG Applicant Release: I hereby authorize the release of the following employment information.
ESG Applicant Signature: _______________________________
Date: ______________________
Employer representative to complete this...
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