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By signing and dating this form, you attest that the citizenship or immigration status you selected is correct and that you are aware that you may be imprisonedRead more
Such distribution shall be pursuant only to a written request by the Class 3a facility indicating the name and address of the facility, the name and address ofRead more
Fill out this form and send it to your worker. YOU ONLY NEED TO FILL OUT THIS FORM IF YOU WANT THE COUNTY TO CONTACT SOMEONE FOR YOU TO GET THE PROOF YOU NEED.