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The document is a request form for conducting a Child Abuse Central Index (CACI) search in California, detailing the necessary information required from the requester, including agency details, purpose of the name check, and personal information about the subject. It outlines legal authorizations under Penal Code section 11170 for various situations such as emergency child placements and investigations of child abuse. Additionally, it includes privacy notices regarding the collection and use of personal information.

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