Florida Department of Education Bureau of Educator Certification Room 201, Turlington Building 325 West Gaines Street Tallahassee, FL 32399-0400 District Number Communication Number J E A N 9 2 6 Natural Disaster Extension/Fee Waiver Applicant’s Personal Information Social Security Number First Name Middle Name Last Name Special Extension/Duplicate Certificate Request Form Extraordinary, Extenuating Circumstances Relating to Hurricane Jeanne September 26, 2004 The educator identified above is an ... Duplicate certificate, pursuant to Section 1012.56(14), Florida Statutes. (CG-10 Form required: $20 fee waived) _____________________________________________________ ...
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