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Get NC PD 107 A 2009-2023

Ction of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.) Signature of Applicant (unsigned applications will not be processed) Date .

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