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Prison Rape Elimination Act (PREA) Audit Report
Lockups

Interim

Date of Report

Final

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Auditor Information
Name:

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Email:

Company Name:

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Mailing Address:

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Telephone:

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City, State, Zip:

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Date of Lockup Visit:

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Agency Information
Name of Agency:

Governing Authority or Parent Agency (If Applicable):

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Physical Address:
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City, State, Zip:
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Mailing Address:
Telephone:

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The Agency Is:

☐ Municipal
Agency mission:

City, State, Zip:

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Is Agency accredited by any organization?

☐ Yes ☐ No