This government document is issued by Department of Fair Employment and Housing for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:baq94yxn95w&q=https://www.dfeh.ca.gov/wp-content/uploads/sites/33/2016/10/CCO-Central-Coast-SCDD-SDS-Interest-Form.pdf&sa=U&ved=2ahUKEwi-m4X0lIryAhVso4sKHaZhDWo4WhAWMAJ6BAgBEAE&usg=AOvVaw207Ww8A4nPgTFWtkaffFI_