This government document is issued by Department of Public Safety for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://dps.georgia.gov/document/document/1302-records-forms-and-reports-revision-september-11-2023pdf/download&sa=U&ved=2ahUKEwjdpMzYnN2IAxVy7bsIHYyYPGE4ChAWegQIBBAC&usg=AOvVaw30HdwPz16u7OkV-OVx-8Z5