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2. Case Number*
3. First Name*
4. Last Name*
6. Address*
8. City*
9. State / Zip Code*
10. Phone Number*
12. What items are you requesting to be released?*
14. You will be contacted by phone to confirm an appointment. Please bring valid identification with you to your appointment. Other paperwork may be required depending on the items that are being released. You will be notified of the other paperwork, if necessary, prior to the appointment.
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16. 1. Receive an email copy of this form.
17. Email address

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18. Submit

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