This government document is issued by Public Health Services for use in Harris County, TX
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PDF
(108 KB)
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19
Source
https://publichealth.harriscountytx.gov/Portals/27/Employment%20Verification%20Form%20(19B)%20SPA.pdf?ver=wga9Tp2XluOk4GxnJljhPw%3d%3d