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Get DoJ BP-A0192 2010-2024

Ects, or for contact with news media. The appropriate form for each of these areas is to be substituted. 1. I (Name of Inmate) 2. Register Number 3. Authorize (Person, Agency, Org.) 4. To disclose to (Recipients) 5. The following information: (Initial one that applies): (a) For Community Programming:(To educational facilities, Social Agencies, prospective employers, etc.) That I am currently in the custody of the U.S. Attorney General either serving sentence or under supervision of the U.S. .

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