This government document is issued by Office of the Commissioner for use in Alaska
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https://www.google.com/url?client=internal-element-cse&cx=c0fe050eb6ce15f1d&q=http://dhss.alaska.gov/dsds/documents/SDSForms/cert/Cert-11ServiceDeclarationResidentialHabilitationServices.pdf&sa=U&ved=2ahUKEwiovteup7fyAhVOS_EDHUYUAMU4WhAWMAh6BAgHEAE&usg=AOvVaw07QYSpB1nvRoQENcHhqCAT