This government document is issued by Corrections for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:n4bpkppoymi&q=https://www.cor.pa.gov/How%2520Do%2520I/Documents/Att%252011-A%2520Training%2520and%2520Understanding%2520Verification%2520Form.docx&sa=U&ved=2ahUKEwjyo_aSiemFAxX9hf0HHRPVCLE4FBAWegQIBRAB&usg=AOvVaw05Ts6RLKspfkUFn-tb2O-S