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ADULT INTAKE FORM
Please write any comments/questions you may wish to share about your current legal situation
By typing my name below, I agree that my electronic signature is the legal equivalent of my handwritten signature and I provide my consent that I am the signatory on this document. I also declare that the above information is a true account of my present status and understand that any false information may result in a violation of my probation. For my records, I acknowledge that I may print my own hard copy of this document or obtain one from my Probation Agent.
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