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Get GA SOP (227.05) IIB01-0005 2015

history information, at any time, pertaining to me which may be in the files of any state or local criminal justice agency. Full Name (Printed) Address Sex Race Date DOB Social Security Number Signature ___________________________________ Notary RETENTION SCHEDULE: Once signed by the visitor, this form shall be placed in the visitor file, and used at the discretion of the Georgia Department of Corrections. .

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