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2. Soon after this selection of blank fields is done, proceed to type in the relevant information in these - I am aware of my rights under, Investigating Police Department, X Signature of Applicant, Witness Print Name, X Signature of Witness, Date, Applicants Social Security Number, Without this number the processing, PART TWO To be completed by County, County Adjusters Office, Record of Admission, Commitment or Treatment, Date of Check, Signature of Authorized, and Official or Doctor.
People often make errors when filling out Date of Check in this area. You should revise everything you type in here.
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