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FORM 3278RC (12/14) FORM 3278RC (12/14) (please print) STATE OF NEW YORK DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION HEALTH SCREENING FOR RECEPTION/CLASSIFICATION INMATE NAME DOB DIN FACILITY
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Form 3278rc - department is a document used by the department to gather specific information.
Certain individuals or entities designated by the department are required to file form 3278rc - department.
Form 3278rc - department can be filled out electronically or manually, following the instructions provided by the department.
The purpose of form 3278rc - department is to collect and record essential data for departmental use.
Form 3278rc - department requires the reporting of specific details like name, address, identification number, and other relevant information.
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