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Get Dbpr Pmw 3120

Of paper and attach to this form. Print clearly in black or blue ink. Do not write in the space labeled For Agency Use Only. All new applicants to Florida must submit an applicant fingerprint card. Fees may be paid by check or money order only and made payable to DBPR in US funds. TO BE COMPLETED BY ALL APPLICANTS Social Security Number Birth Date Last Name (MM/DD/YYYY) First Have you used, been known as, or called by another name? Gender Male Middle Female Suffix If ans.

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