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Get DC Traffic Record Check Affirmation Form 2018-2024

For the facility. 2. The employee should initial the affirmation, print, sign and date at the bottom. 3. When submitting this form, please organize the names of the employees in the same order as the Staffing Pattern Form. Rev. 6/2018 1050 First St. NE, Washington, DC 20002 Phone: (202) 727-6436 TTY: 711 osse.dc.gov TRAFFIC RECORD CHECK AFFIRMATION FORM The Office of the State Superintendent (OSSE) is authorized to conduct a traffic record check on all employees of child development.

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