Please enter the annual totals for each question where applicable.

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* 1. Enter your Agency Name:

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* 2. To receive confirmation, please enter your email address:

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* 3. Enter Date Submitted:

Date / Time

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* 4. Is your Agency State Certified?

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* 5. Does your Agency have a no-pursuit policy?
(If your answer is yes, this concludes your reporting)

 
33% of survey complete.

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