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Get FL FDAC-16036 2014-2024

Law enforcement officer, correctional officer, or correctional probation officer as defined in Section 943.10 (1), (2) or (3), Florida Statutes? YES NO 3b. If you answered YES to Question 3a., have you been retired for one year or less? YES NO FDACS-16036 Rev. 12/14 Page 1 of 2 LICCW01 4a. Do you qualify for exemption from the public records law as provided by s. 119.071, Florida Statutes? YES NO 4b. If YES, do you wish to have the specified information kept confidential? YES NO .

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