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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY DEPARTMENT OF CHILD SUPPORT SERVICES CONFIDENTIAL PATERNITY QUESTIONNAIRE PART I DCSS 0095 08/16/04 Please complete this form to the best of your ability. CASE NAME Privacy Statement The Information Practices Act of 1977 Civil Code Section 1798. 17 and the Federal Privacy Act of 1974 Public Law 93-579 requires that this notice be provided when collecting...
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