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Get About House Arrest Format

Anchorage, AK 99501 Phone: 269-0927 fax 269-0949 Fill in all information completely and please print Any false statements made to DOC staff or on this application may result in termination from the House Arrest Program. Name: Social Security Number: - - OBSIS Current Offense(s): Date of Birth: Age: Sex: Height: Weight: H.

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