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Get VT Project CRASH Treatment Information 2014-2024

Does NOT authorize approval for reinstatement, and is not considered accepted until the CRASH Evaluator and the DDRP director or his/her designee have signed the form. If an individual has an alcohol related offense, and they live in the State of Vermont, they need to attend a Project CRASH Intake. If they have completed a Project CRASH Intake, they have been given a copy of the test results and information from the intake. Client’s Name _______________________________ Date of Birth _________.

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