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Get AZ Request for Absolute Discharge

ADC#: Street Address: City: State: Zip Code: Phone: Alternate Phone: Date of Birth: Social Security Number: Signature:  Please mail my Absolute Discharge Certificate to me at the address I have indicated above  I would like to pick up my Absolute Discharge Certificate By filling out this form and with your signature you are authorizing the Arizona Department of Corrections to actively search and provide back information with regards to your Absolute Discharge. Purs.

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