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STAFF USE ONLY - cdcr ca 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the 'Institution/Parole Region' and 'Log #' fields at the top of the form. Ensure that you provide accurate information as this is crucial for processing your appeal.
  3. In the 'Name (Last, First)' section, write your name clearly using black or blue ink. Next, enter your 'CDC Number' and 'Unit/Cell Number' to identify yourself within the system.
  4. For Section A, explain your issue in detail. Use clear language and ensure that each line does not exceed one row of text to avoid rejection.
  5. In Section B, specify the action you are requesting. Be concise yet thorough in your explanation to facilitate a proper review of your appeal.
  6. Finally, sign and date the form at the bottom. This confirms that all information provided is accurate and complete.

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Staff-Misconduct-Regulations-Second-Readoption - CDCR

Aug 11, 2025 CDCR 1824 (Rev. 07/24). DEPARTMENT OF CORRECTIONS AND REHABILITATION. INSTITUTION (Staff use only). LOG NUMBER (Staff Use Only). DATE RECEIVEDRead more

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