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Get Form Dlq 003

Incomplete or inaccurate information may delay the processing of your request. 2. Once completed, the request form may be mailed to or dropped off at: CPS Gatekeeper 3331 Power Inn Road, Suite 420 Sacramento, CA 94826 You may also fax the form to: CPS Gatekeeper Fax # 916-875-6176 IF You reside in Sacramento and/or wish to pick up the records in person You reside in a state other than California or far from Sacramento THEN Bring a picture ID to verify your identity You must submit.

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