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Get KY AOC-JV-41 2013

Y.gov OF JUS CDW Referral No. Case No. TI AFFIDAVIT AND TRUANCY EVALUATION FORM Court Family District County Name: DOB: Grade: Race/Sex: School: Student ID# Program: Mother: Custodial Parent/Guardian: Father: Student's Address: Zip: Resides With: Relationship: Home Phone: Cell Phone: Work Phone: Referral Source: Accumulative Absences: Absences Unexcused: Tardy: Days N.

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