This government document is issued by Department of Aging and Community Living for use in District of Columbia
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https://www.google.com/url?client=internal-element-cse&cx=c913c1f9a9e523a60&q=https://dacl.dc.gov/sites/default/files/dc/sites/dacl/page_content/attachments/Attachment%2520A%2520through%2520M.pdf&sa=U&ved=2ahUKEwje7qHIsqWNAxWSWaQEHSUJDQwQFnoECAkQAQ&usg=AOvVaw3NS3sh5HB23hVlwjDLpmQA&fexp=72956999,72956998