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STATE OF CALIFORNIADEPARTMENT OF CORRECTIONS AND REHABILITATIONDIVISION OF ADULT INSTITUTIONSDUTY STATEMENTINITIAL AND DATE UPON COMPLETION: ___ Emailed to Delegated Testing ___ Copy to PS for OPF
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What is incarcerated/paroled relative or associate notification Form?

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An incarcerated paroled relative or associate refers to an individual who is currently serving time in prison or has been released under parole, and has a familial or close personal relationship with another individual.
Individuals who have a relative or associate that is currently incarcerated or on parole may be required to report this information, typically for legal, governmental, or social service purposes.
To fill out the incarcerated paroled relative or associate form, provide the necessary personal information about both the individual filing and the incarcerated or paroled individual, including names, relationships, and relevant dates.
The purpose of reporting incarcerated or paroled relatives or associates is to inform authorities of relationships that may affect legal proceedings, social services, or community programs.
Required information typically includes the names of the individuals involved, their relationship to each other, the status of incarceration or parole, and any relevant contact information.
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