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SAFE-D Application for 12/14 Webcast Credit

I certify that I participated in the webcast on Dec. 14, 2019 and am entitled to receive three (3) hours of ESD Commissioner Training Credit. I am aware that false statements may lead to substantial penalties.

This form will be available for 30 days after the webcast. After 30 days, credit application will not be available. Please note: Payment must be received for credit hours to be processed. Educational sponsor: V.G. Young Institute of County Government, Texas A&M AgriLife Extension Service.

Please allow 4 to 6 weeks for processing.

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Combine the two words given during the webcast and enter them here.

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