This government document is issued by Department of Corrections for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://gdc.georgia.gov/document/document/visitation-request-form&sa=U&ved=2ahUKEwj3z_zW45mHAxXd8QIHHdiIBhEQFnoECAkQAg&usg=AOvVaw01E-xaNFEla3s_Qflx8Q7Y&fexp=72519171,72519168