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ID I I I I I I ID - Employment Development Department
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California d 1: Fill out & sign online DocHub
Web(Pen. Code § 1170, subd. (d)(1)) Please provide the following information in order for the SFDA’s Office to consider your request for relief under Penal Code section 1170, subdivision (d)(1): 1. Your (convicted person’s) name: 2. If someone other than the convicted person is filling out this form, please give your Webe-mail to [email protected], or by mail to Office of Administrative Law, 300 Capitol Mall, Suite 1250, Sacramento, CA 95814-4339 Description of the Specific Facts Demonstrating the Existence of an Emergency (Government Code Section 11346.1(b)(2) These emergency regulations initially took effect January 1, 2024. These emergency WebForm CA-1 Revised October 2024 1a. Email address If you have a disability and are in need of communication assistance (such as alternate formats or sign language interpretation), accommodations and/or modifications, please contact OWCP. 4. Gender Official Supervisor's Report: Please complete information requested below: Supervisor's Report 17. bong thai seattle