Prevention & Diversion Reporting Form
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Notification.
If financial assistance is part of the diversion or prevention service, please notify CES Lead Agency of the Client
ID, service and amount within 48 hours using this form. If you have any questions contact eallen@co.santa-barbara.ca.us.
Client ID *
Service *
Amount *
Other Notes
Staff Completing Form *
Agency *
Email *
City *
Submit
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