This government document is issued by California Department of Technology for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:ssdi36tyaua&q=https://cdt.ca.gov/services/wp-content/uploads/sites/2/2017/05/CALNET-ordering-forms-ifb-a-ato-clink.pdf&sa=U&ved=2ahUKEwjgv_P3xI2JAxWug_0HHQrUJqU4HhAWegQIBBAB&usg=AOvVaw1qlBTNy2OxLdnFZKDX_4bt