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Get CA LIC 9214 2016

and licensing affiliations. Federal law (at Title 5 United States Code Section 552a Note) states that: Any federal, state, or local government agency which requests an individual to disclose his social security account number shall inform that individual whether that disclosure is mandatory or voluntary, by what statutory or other authority such number is solicited, and what uses will be made of it. LIC 9214 (5/16) PAGE 1 OF 2 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNI.

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