This government document is issued by Corrections for use in South Dakota
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https://www.google.com/url?client=internal-element-cse&cx=001246226165971574734:8nq3hhoxg7i&q=https://doc.sd.gov/documents/visitbackgroundcheckforms1082024.pdf&sa=U&ved=2ahUKEwiJq77j56GJAxUWiv0HHS6hBqAQFnoECAQQAg&usg=AOvVaw3UrwDIhS5mftuhtbGnlYeB&fexp=72781342,72781340,72781341