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Ldss 2725 Form 2009
OFFICIAL:
REQUIRED
REQUESTING AGENCY (Name and Address):
REQUIRED
PRINT NAME OF AGENCY OFFICIAL:
AGENCY TEL. NO.(include Area Code):
The department shall, upon request, provide the names and addresses of persons listed with the
registry to any court or authorized NYS agency, and such information shall not be divulged to any
other person, except upon order of a court for good cause shown. Social Service Law 372-c Putative
Father Registry
INSTRUCTIONS:
1. COMPLETE ALL THE BOXES ABOVE. If...
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