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103
![Formulario 4 Adjunto B "Autorizacion De Transaccion Compass" - Georgia (United States) (Spanish)](https://data.templateroller.com/pdf_docs_html/2261/22619/2261902/formulario-4-adjunto-b-autorizacion-de-transaccion-compass-georgia-united-states-spanish.png "Formulario 4 Adjunto B "Autorizacion De Transaccion Compass" - Georgia (United States) (Spanish)")
![Form 226 Attachment E "Medicaid and IV-E Redetermination Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22618/2261896/form-226-attachment-e-medicaid-and-iv-e-redetermination-form-georgia-united-states.png "Form 226 Attachment E "Medicaid and IV-E Redetermination Form" - Georgia (United States)")
![Form 223 Attachment A "Medicaid and IV-E Application" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22619/2261900/form-223-attachment-a-medicaid-and-iv-e-application-georgia-united-states.png "Form 223 Attachment A "Medicaid and IV-E Application" - Georgia (United States)")
![Form 224 Attachment C "Removal Home Income and Asset Checklist" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22619/2261903/form-224-attachment-c-removal-home-income-and-asset-checklist-georgia-united-states.png "Form 224 Attachment C "Removal Home Income and Asset Checklist" - Georgia (United States)")
![Instructions for Form 224 Attachment C "Removal Home Income and Asset Checklist" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22619/2261905/instructions-for-form-224-attachment-c-removal-home-income-and-asset-checklist-georgia-united-states.png "Instructions for Form 224 Attachment C "Removal Home Income and Asset Checklist" - Georgia (United States)")
![Instructions for Form 223 Attachment A "Medicaid and IV-E Application" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22619/2261904/instructions-for-form-223-attachment-a-medicaid-and-iv-e-application-georgia-united-states.png "Instructions for Form 223 Attachment A "Medicaid and IV-E Application" - Georgia (United States)")
![Form MS10-57 "Report to Employing Agency" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1801/18016/1801649/form-ms-10-57-report-to-employing-agency-georgia-united-states.png "Form MS10-57 "Report to Employing Agency" - Georgia (United States)")
![Form DJJ11.30 Attachment O "Youth Handwashing Video Acknowledgement Statement" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812759/form-djj-11-30-attachment-o-youth-handwashing-video-acknowledgement-statement-georgia-united-states.png "Form DJJ11.30 Attachment O "Youth Handwashing Video Acknowledgement Statement" - Georgia (United States)")
![Form DJJ11.43 Attachment A "Medical Unit on-Call Log" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/254/2545/254557/form-djj11-43-attachment-a-medical-unit-on-call-log-georgia-united-states.png "Form DJJ11.43 Attachment A "Medical Unit on-Call Log" - Georgia (United States)")
![Attachment A "Daily Temperature Log Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812720/attachment-a-daily-temperature-log-form-georgia-united-states.png "Attachment A "Daily Temperature Log Form" - Georgia (United States)")
![Attachment E "Site Assessment Tool - Afterschool Care Program" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2225/22259/2225901/attachment-e-site-assessment-tool-afterschool-care-program-georgia-united-states.png "Attachment E "Site Assessment Tool - Afterschool Care Program" - Georgia (United States)")
![Attachment C "School Breakfast Program Site Assessment Tool" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2225/22259/2225900/attachment-c-school-breakfast-program-site-assessment-tool-georgia-united-states.png "Attachment C "School Breakfast Program Site Assessment Tool" - Georgia (United States)")
![Attachment B "Special Diet Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22618/2261861/attachment-b-special-diet-form-georgia-united-states.png "Attachment B "Special Diet Form" - Georgia (United States)")
![Attachment B "Afterschool Snack in-Service" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22618/2261862/attachment-b-afterschool-snack-in-service-georgia-united-states.png "Attachment B "Afterschool Snack in-Service" - Georgia (United States)")
![Attachment A "DJJ Postage Accountability Log" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1809/18098/1809838/attachment-a-djj-postage-accountability-log-georgia-united-states.png "Attachment A "DJJ Postage Accountability Log" - Georgia (United States)")
![Attachment G "HIV Antibody Testing Confidential Consent Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1801/18016/1801655/attachment-g-hiv-antibody-testing-confidential-consent-form-georgia-united-states.png "Attachment G "HIV Antibody Testing Confidential Consent Form" - Georgia (United States)")
!["Notification of an Infectious Disease" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18125/1812544/notification-an-infectious-disease-georgia-united-states.png ""Notification of an Infectious Disease" - Georgia (United States)")
![Attachment E "Medical Equipment Cleaning Schedule" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1801/18014/1801416/attachment-e-medical-equipment-cleaning-schedule-georgia-united-states.png "Attachment E "Medical Equipment Cleaning Schedule" - Georgia (United States)")
![Attachment B "Youth Medical Services Orientation Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1801/18016/1801660/attachment-b-youth-medical-services-orientation-form-georgia-united-states.png "Attachment B "Youth Medical Services Orientation Form" - Georgia (United States)")
![Attachment A "Help Request Form" - Georgia (United States) (English/Spanish)](https://data.templateroller.com/pdf_docs_html/2261/22618/2261872/attachment-a-help-request-form-georgia-united-states-english-spanish.png "Attachment A "Help Request Form" - Georgia (United States) (English/Spanish)")
![Attachment C "Srg Contact Information Report" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22618/2261884/attachment-c-srg-contact-information-report-georgia-united-states.png "Attachment C "Srg Contact Information Report" - Georgia (United States)")
![Attachment L "Prea Retaliation Monitoring Sheet" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22618/2261898/attachment-l-prea-retaliation-monitoring-sheet-georgia-united-states.png "Attachment L "Prea Retaliation Monitoring Sheet" - Georgia (United States)")
![Attachment J "Sexual Abuse Incident Review Team Meeting Minutes" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22618/2261897/attachment-j-sexual-abuse-incident-review-team-meeting-minutes-georgia-united-states.png "Attachment J "Sexual Abuse Incident Review Team Meeting Minutes" - Georgia (United States)")
![Attachment M "Sexual Abuse Coordinated Team Response" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22619/2261906/attachment-m-sexual-abuse-coordinated-team-response-georgia-united-states.png "Attachment M "Sexual Abuse Coordinated Team Response" - Georgia (United States)")
Attachment M "Sexual Abuse Coordinated Team Response" - Georgia (United States)
Size: 134 KB
4 pages
!["Georgia Detention Assessment Instrument" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1801/18016/1801639/georgia-detention-assessment-instrument-georgia-united-states.png ""Georgia Detention Assessment Instrument" - Georgia (United States)")
!["Mail Items Rejection Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812747/mail-items-rejection-form-georgia-united-states.png ""Mail Items Rejection Form" - Georgia (United States)")
![Attachment A "Confinement Checks Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22618/2261873/attachment-a-confinement-checks-form-georgia-united-states.png "Attachment A "Confinement Checks Form" - Georgia (United States)")
![Attachment A "Vendor Acknowledgement Statement Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812749/attachment-a-vendor-acknowledgement-statement-form-georgia-united-states.png "Attachment A "Vendor Acknowledgement Statement Form" - Georgia (United States)")
!["Grievance Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1801/18016/1801665/grievance-form-georgia-united-states.png ""Grievance Form" - Georgia (United States)")
!["Highly Restricted Key Log Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1801/18016/1801663/highly-restricted-key-log-form-georgia-united-states.png ""Highly Restricted Key Log Form" - Georgia (United States)")
!["Ada Physician's Statement Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812724/ada-physician-s-statement-form-georgia-united-states.png ""Ada Physician's Statement Form" - Georgia (United States)")
!["Cooling off Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1801/18016/1801641/cooling-off-form-georgia-united-states.png ""Cooling off Form" - Georgia (United States)")
![Attachment H "Disciplinary Hearing Appeal" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/2261/22618/2261874/attachment-h-disciplinary-hearing-appeal-georgia-united-states.png "Attachment H "Disciplinary Hearing Appeal" - Georgia (United States)")
!["Help Request Form" - Georgia (United States) (English/Spanish)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812728/help-request-form-english-spanish-georgia-united-states.png ""Help Request Form" - Georgia (United States) (English/Spanish)")
!["Notice of Privacy Practices" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1801/18016/1801656/notice-privacy-practices-georgia-united-states.png ""Notice of Privacy Practices" - Georgia (United States)")
![Attachment P "Return to Work Clearance Checklist" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812736/attachment-p-return-to-work-clearance-checklist-georgia-united-states.png "Attachment P "Return to Work Clearance Checklist" - Georgia (United States)")
!["Privacy Practices Denial Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812738/privacy-practices-denial-form-georgia-united-states.png ""Privacy Practices Denial Form" - Georgia (United States)")
![Attachment C "Consent to Medical, Dental and Surgical Invasive Procedures" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812723/attachment-c-consent-to-medical-dental-and-surgical-invasive-procedures-georgia-united-states.png "Attachment C "Consent to Medical, Dental and Surgical Invasive Procedures" - Georgia (United States)")
![Attachment A "Medical Permission Form" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1812/18127/1812729/attachment-a-medical-permission-form-georgia-united-states.png "Attachment A "Medical Permission Form" - Georgia (United States)")
