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PUBLIC RECORDS EXEMPTION REQUEST - …

FLORIDA DEPARTMENT OF STATE PUBLIC RECORDS EXEMPTION REQUEST (Form DOS-119; Rev. 1/ 2016) Florida law allows certain persons to REQUEST that an agency not publicly disclose specific identification and/or location information contained in any of its agency RECORDS . Please refer to sections (2)(j), (4)(d) and (5)(i), , and , Fla. Stat., or other applicable statute for scope of protection which may include home address, phone numbers, photos, name of spouse and/or children, and their place of employment, and/or school or daycare care facility, date of birth.

FLORIDA DEPARTMENT OF STATE PUBLIC RECORDS EXEMPTION REQUEST ( F orm DOS-119; Rev. 1/ 2016) Florida law allows certain persons to request that an agency not publicly disclose specific identification and/or location information contained in

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