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Get Ldss 2725 2009 Form 2009

Own): SIGNATURE OF AGENCY 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.

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