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STATE OF CALIFORNIADEPARTMENT OF CORRECTIONS AND REHABILITATIONCONFIDENTIAL PHONE CALL REQUEST CDC 106A (02/08) READ CAREFULLY. Please PRINT or TYPE. The information requested will be used by officials
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Obtain a copy of the CDCR 106-A form.
02
Fill in your personal information including your name, CDCR number, and housing location.
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Provide detailed information regarding the incident or circumstances that led to the need for the form.
04
Include any relevant dates, times, and locations.
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Sign and date the form before submitting it to the appropriate department.

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Inmates in the California Department of Corrections and Rehabilitation (CDCR) facilities who are involved in incidents that require documentation and investigation.
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CDCR 106-A form is a document used to report incidents involving the use of force by correctional officers.
Correctional officers involved in incidents requiring the use of force are required to file CDCR 106-A form.
The form should be completed by providing detailed information about the incident, including date, time, location, individuals involved, and the use of force tactics.
The purpose of CDCR 106-A form is to ensure transparency and accountability in reporting the use of force incidents within correctional facilities.
The form requires reporting of details such as date, time, location, individuals involved, reason for use of force, tactics used, injuries sustained, and any witnesses.
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