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Get MD DOC 185-002c 2008-2024

F CORRECTION REQUEST FOR ADMINISTRATIVE REMEDY (Instructions for completing this form are on the back) TO: Warden of Institution Emergency Request: Check only if your complaint poses a continued threat to your health, safety, or welfare. FROM: _____________________________________ _________________ _____________________ Last Name First Name Middle Initial Housing Location _______________ Protective Custody DOC Number Administrative Segregation __________________ Institution Disciplin.

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