This government document is issued by Corrections for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:n4bpkppoymi&q=https://www.cor.pa.gov/parole-supervision/Documents/Parole%2520Resources/PBPP%252040%2520Adm%2520Appeal%2520Remedies.pdf&sa=U&ved=2ahUKEwiSx9fZi-mFAxXg7QIHHc-NA_s4MhAWegQIBBAB&usg=AOvVaw3dO3GSACTk2yJpdQe0KNoX