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LDSS-3708 Rev. 4/01 SCHOOL ATTENDANCE VERIFICATION LOCAL DISTRICT NAME AND ADDRESS CASE NUMBER WORKER ID CASE NAME AND ADDRESS Date SCHOOL NAME AND ADDRESS - Fold Dear Sir/Madam We are currently reviewing the assistance case of the above named person. According to our records child ren in the assistance case are enrolled in your school. In order to complete our review we need information on the following child ren.

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