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/unemployment-tax/application-gdol-tax-account-or-status-change-dol-1n/download&sa=U&ved=2ahUKEwiAvui4jZeHAxV887sIHan-Bxg4ChAWegQIAxAB&usg=AOvVaw0_cwweqMpNu62PuQopZ0xj&fexp=72519171,72519168