This government document is issued by Council of Accountability Court Judges of Georgia for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://cacj.georgia.gov/document/document/notice-change-accountability-court-personnel-form/download&sa=U&ved=2ahUKEwjdudenuN2IAxXD9rsIHabYH-E4ChAWegQIAhAB&usg=AOvVaw0zTy08lK6hV3RdzHxIa1n5