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R PUBLIC SAFETY OFFICERS EDUCATIONAL ASSISTANCE (42 U.S.C. 3796d) FAX (202) 616-0314 Important: No benefits can be paid unless a completed application has been received (28 CFR Part 32.20). The information requested on this form is necessary to determine your eligibility for educational assistance. Your responses are considered confidential (38 USC 5701) and may be disclosed outside of the Office of Justice Programs only if the disclosure is authorized under the Privacy Act. Paperwork Reduc.

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