Province of Nova Scotia

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Information provided on this form is collected in accordance with the Freedom of Information and Protection of Privacy Act with respect to the collection, use, and disclosure. The information will only be collected, used, and disclosed internally.We may only use or disclose your information for other purposes if we are authorized by law.To read more about how government respects your privacy when interacting with us review our full privacy statement at: https://beta.novascotia.ca/privacy