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Document Number: DVR-199-E
Description: This form is for DVR to obtain records from outside agencies.
Comments: Form is protected from modification and enabled for form fill (includes tabbed fields for form completion).
Content Contact: DVR Forms
Document Attachments:
DVR-199-E (English Electronic Version - pdf/802 KB)
DVR-199-E-FA (Dari Electronic Version - pdf/1.361 MB)
DVR-199-E-H (Hmong Electronic Version - pdf/1.304 MB)
DVR-199-E-KAR (Karen Electronic Version - pdf/1.33 MB)
DVR-199-E-S (Spanish Electronic Version - pdf/132 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.