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STATE OF VERMONT PROJECT CRASH RELEASE OF CONFIDENTIAL INFORMATION I,____________________________________, date of birth: ___/___/___, authorize Project CRASH to disclose information about the facts of my enrollment, cur
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Document Date: 2014-05-08 15:20:10
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City
Burlington /
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Facility
Treatment facility /
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MedicalCondition
Drug Abuse /
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Organization
Department of Health /
Project CRASH School /
Vermont Department of Corrections /
Superior Court /
Vermont Department of Motor Vehicles /
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Position
Attorney /
Counselor /
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ProvinceOrState
Applicable Vermont District /
Vermont /
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SocialTag
Punishments
Parole
Vermont
Justice
Criminal justice
Criminal law
Law
Probation