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Diversion Report

  1. Are you employed?*

  2. Are you attending school?*

  3. Have you been arrested since you last reported?*

  4. Have you received a ticket since you last reported?*

  5. Have you had a criminal complaint filed against you since last reporting?*

  6. I certify that the information is true and correct to the best of my knowledge and belief.*

  7. Leave This Blank:

  8. This field is not part of the form submission.