This government document is issued by Department of Labor for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://dol.georgia.gov/document/child-labor/child-labor-home-schooled-form/download&sa=U&ved=2ahUKEwijt-a4kJeHAxWF3AIHHbLmD144MhAWegQIARAC&usg=AOvVaw3txUzZKZ0J4b7NzizvV-AM&fexp=72519171,72519168