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Appendix C

Re-Entry Preparation Checklist

Name:_ _______________________________ Date:______________

INSTRUCTIONS: Check those boxes that are most relevant to your sit-
uation as well as include any details for each item checked.

Identification

q	Social Security number	         (#_____________________ )

q	Driver’s license	               (#_____________________ )

q	Birth certificate

q	State ID card

q	 CDIB (Certificate of Degree of Indian Blood) card

q	U.S. passport or passport card

q	U.S. military ID

q	 Marriage certificate

q	 Court order or judgments

q	Other ID	                       (#_____________________ )

Housing

q	Need assistance with housing
q	Housing already arranged
q	 Location:
	Address_____________________________________________
	City________________________ State____ Zip code________

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