The following items are required additional information, to meet licensing requirements, with the submission of the completed application:

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1 Thank you for your interest in Bell Therapy/Willowglen Academy. To be considered for employment with Phoenix Care Systems and its subsidiaries, Bell Therapy and Willowglen Academy, require an applicant to complete an Employment Application Form. The following items are required additional information, to meet licensing requirements, with the submission of the completed application: Highest degree/diploma, equivalency, or certified transcripts verifying completion of education. The original is copied at the HR office, per accreditation requirements. Any prior training certificates or unofficial transcripts are to your benefit; however, not required When applicable, specialty license (teacher, RN, LPN, LPC, etc.) To learn more about Phoenix Care Systems, the types of thing we do and the kinds of people we employ, please visit our website at After completing the application packet please as an attachment to upon receipt our recruiting team will be in contact. To learn more about Phoenix Care Systems, the types of thing we do and the kinds of people we employ, please visit our website at Phoenix Care Systems, Inc. Human Resoures Department 5555 N 51st Boulevard Milwaukee, WI N 51st Boulevard Milwaukee, WI TEL (414) FAX (414) www. belltherapy.com

2 APPLICATION FOR EMPLOYMENT PHOENIX CARE SYSTEMS, INC. BELL THERAPY, INC. WILLOWGLEN ACADEMY, INC. PHOENIX CARE SYSTEMS, INC. WE CONSIDER APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, CREED, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, MARITAL OR VETERN STATUS, SEXUAL ORIENTATION, OR ANY OTHER LEGALLY PROTECTED STATUS. (PLEASE PRINT) POSTITION(S) APPLIED FOR AN INCOMPLETE APPLICATION WILL NOT BE CONSIDERED DATE OF APPLICATION HOW DID YOU LEARN ABOUT US? NEWSPAPER/LIST? FRIEND/WHO? WALK IN EMPLOYMENT AGENCY/LIST? RELATIVE/WHO? OTHER CURRENT/FORMER EMPLOYEE/WHO? LAST NAME FIRST NAME MIDDLE NAME ADDRESS ADDRESS CITY STATE ZIP TELEPHONE NUMBER(S) SOCIAL SECURITY NUMBER WOULD YOU BE WILLING TO TAKE A DRUG-SCREENING TEST? HAVE YOU EVER FILED AN APPLICATION WITH US BEFORE? IF YES, GIVE DATE / / HAVE YOU EVER BEEN EMPLOYED WITH US BEFORE? IF YES, GIVE DATE / / ARE YOU CURRENTLY EMPLOYED? ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS? PROOF OF CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED UPON EMPLOYMENT. HAVE YOU EVER RESIDED IN ANOTHER CITY, TOWN, COUNTY, STATE? IF YES, / / / DATE CITY STATE ARE THERE CURRENTLY ANY CRIMINAL CHARGES PENDING AGAINST YOU? HAVE YOU EVER BEEN CONVICTED OF A MISDEMEANOR OR FELONY? ARREST OR CONVICTION WILL NOT NECESSARILY DISQUALIFY AN APPLICANT FROM EMPLOYMENT UNLESS THE PENDING CHARGES OR CONVICTION SUBSTANTIALLY RELATES TO THE CIRCUMSTANCES OF THE PARTICULAR JOB FOR WHICH YOU ARE APPLYING. IF YES, PLEASE EXPLAIN WE ARE AN EQUAL OPPORTUNITY EMPLOYER

3 EMPLOYMENT EXPERIENCE STARTING WITH YOUR PRESENT OR LAST JOB, NOT TO EXCEED 7 YEARS. INCLUDE ANY JOB-RELATED MILITARY SERVICE ASSISGNMENTS AND VOLUNTEER ACTIVITIES. YOU MAY EXCLUDE ORGANIZATIONS WHICH EXCLUDE ORGANIZATIONS WHICH INDICATED RACE, COLOR, RELIGION,GENDER, NOTATIONAL ORIGIN, DISABILITIES OR OTHER PROTECTED STATUS. ACCOUNT FOR ANY GAPS IN EMPLOYMENT IF YOU NEED ADDITIONAL SPACE, PLEASE CONTINUE ON A SEPARATE SHEET OF PAPER. EMPLOYER DATES EMPLOYED WORK PERFORMED ADDRESS FROM TO TELEPHONE NUMBER(S) JOB TITLE SUPERVISOR HOURLY RATE/SALARY STARTING FINAL REASON FOR LEAVING TERMINATED EMPLOYER DATES EMPLOYED WORK PERFORMED ADDRESS FROM TO TELEPHONE NUMBER(S) JOB TITLE SUPERVISOR HOURLY RATE/SALARY STARTING FINAL REASON FOR LEAVING TERMINATED EMPLOYER DATES EMPLOYED WORK PERFORMED ADDRESS FROM TO TELEPHONE NUMBER(S) JOB TITLE SUPERVISOR HOURLY RATE/SALARY STARTING FINAL REASON FOR LEAVING TERMINATED

4 EMPLOYER DATES EMPLOYED WORK PERFORMED ADDRESS FROM TO TELEPHONE NUMBER(S) JOB TITLE SUPERVISOR HOURLY RATE/SALARY STARTING FINAL REASON FOR LEAVING TERMINATED EDUCATION NAME OF SCHOOL CITY, STATE COURSE OF STUDY YEARS COMPLETED GRADUATED ELEMENTARY SCHOOL HIGH SCHOOL UNDERGRADUATE COLLEGE GRADUATE PROFESSIONAL OTHER (SPECIFY) PERSONAL CHARACTER REFERENCE (NOT EMPLOYMENT OR INTERNSHIP) 1. NAME TELEPHONE NUMBER ADDRESS CITY STATE ZIP 2. NAME TELEPHONE NUMBER ADDRESS CITY STATE ZIP 3. NAME TELEPHONE NUMBER ADDRESS CITY STATE ZIP

5 PLEASE CHECK ANY OR ALL SHIFTS YOU ARE INTERESTED IN: FULL TIME (1ST) (2ND) (3RD) PART TIME (1ST) (2ND) (3RD) PART TIME WEEKENDS (1ST) (2ND) (3RD) PLEASE TELL US SOMETHING ABOUT YOURSELF (INCLUDING YOUR SKILLS) THAT WOULD MAKE US WANT TO HIRE YOU OVER ANOTHER APPLICANT. PLEASE CHECK BOX FOR THE ENVIRONMENT (AGENCY), (POPULATION) THAT YOU WOULD PREFER WORKING IN. CORPORATE OFFICES BELL THERAPY, INC. ADULTS WITH INTELLECTUAL DISABILITIES ADULTS WITH SERIOUS MENTAL ILLNESS ADULTS WITH CRONIC MENTAL ILLNESS WILLOWGLEN ACADEMY, INC. ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES ADOLESCENTS WITH EMOTIONAL DISABILITIES NOTE TO APPLICANTS: DO NO ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING. ARE YOU CAPABLE OF PERFORMING IN A REASONABLE MANNER, WITH OR WITHOUT A REASONABLE ACCOMODATION, THE ACTIVITIES INVOLVED IN THE JOB OR OCCUPATION FOR WHICH YOU HAVE APPLIED? APPLICANT S STATEMENT I CERTIFY THAT ANSWERS GIVEN HEREIN ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION FOR EMPLOYMENT AS MAY BE NECESSART IN ARRIVING AT AN EMPLOYMENT DECISION. THIS APPLICATION FOR EMPLOYMENT WILL REMAIN ON FILE FOR A PERIOD OF TIME NOT TO EXCEED ONE YEAR. ANY APPLICANT WISHING TO BE CONSIDERED FOR EMPLOYMENT BEYOND THIS TIME PERIOD SHOULD INQUIRE AS TO WHETHER OR NOT APPLICATIONS ARE BEING ACCEPTED AT THAT TIME. I HEREBY UNDERSTAND AND ACKNOWLEDGE THAT, UNLESS OTHERWISE DEFINED BY APPLICABLE LAW, ANY EMPLOYMENT RELATIONSHIP WITH THIS ORGANIZATION IS OF AN AT WILL NATURE, WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND THE EMPLOYER MAY DISHCARGE EMPLOYEE AT ANY TIME WITH OR WITHOUT CAUSE. IT IS FURTHER UNDERSTOOD THAT THIS AT WILL EMPLOYMENT RELATIONSHIP MAY NOT BE CHANGED BY ANY WRITTEN DOCUMENT OR BY CONDUCT UNLESS SUCH CHANGE IS SPECIFICALLY ACKNOWLEDGED IN WRITING BY AUTHORIZED EXECUTIVE OF THIS ORGANIZATION. IN THE EVENT OF EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION GIVEN IN MY APPLICATION OR INTERVIEW(S) WILL RESULT IN IMMEDIATE DISCHARGE. I UNDERSTAND, ALSO THAT I AM REQUIRED TO ABIDE BY ALL RULES AND REGULATIONS OF THE EMPLOYER. SIGNATURE OF APPLICANT DATE PHOENIX CARE SYSTEMS, INC. HUMAN RESOURCE DEPARTMENT 5555 N 51ST BLVD MILWAUKEE, WI

6 AFFIRMATIVE ACTION INFORMATION PLEASE PRINT We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status. Position(s) applied for Date Referral Source: Private Employment Agency Advertisement Relative School Government Employment Agency Employee Walk-In Other; Name of Source (if applicable) Applicants Name Last First Middle Initial Maiden Name (if used) Address Street City State Zip Code Applicants Birth Date S.S.# As required, we comply with government regulations including Affirmative Action Obligations where they apply. In an effort to comply with requirements regarding government record keeping, reporting, and other legal obligations, we ask that you complete this volunteer applicant survey. Your cooperation is appreciated, however you are not required to complete this form. Please be advised that your survey is not a part of your official application for employment. It is considered confidential information that will not be used in any hiring decision. Check one: Male Female Check one of the following Race/Ethnic Groups: Hispanic Afro-American Caucasian Asian/Pacific Islander American Indian/Alaskan Native Multi-Racial SPECIAL NOTICE TO VIETNAM ERA VETERANS, DISABLED VETERANS AND INDIVIDUALS WITH PHYSICAL OR MENTAL HANDICAPS OR DISABILITIES: Government contractors subject to the Vietnam Era Readjustment Act of 1974 and the Rehabilitation Act of 1973 are required to take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and qualified handicapped individuals. You are invited to volunteer this information, if you qualify, to assist in proper placement and determining reasonable accommodation. This information will be considered confidential, and refusal to provide this information will not adversely affect your consideration for employment. IF YOU SO WISH TO BE IDENTIFIED, PLEASE CHECK IF ANY OF THE FOLLOWING ARE APPLICABLE: Vietnam Era Veteran Disabled Veteran Individual With A Disability To be completed by applicant. Not to be used for interview purposes. To be filed separately from application. This information is used to satisfy the Affirmative Action requirements of Section 503 of the Rehabilitation Act and/or necessitated by another federal law or regulator.

7 DEPARTMENT OF CHILDREN AND FAMILIES DCF-F-2978-E (R. 06/2016) BACKGROUND INFORMATION DISCLOSURE (BID) STATE OF WISCONSIN Wis. Stat Wis. Admin. Code DCF Completion of this form is required under the provisions of Wis. Stat and Wis. Admin. Code DCF Pursuant to Wis. Stat , this form must be completed prior to licensure, certification, employment or non-client residency and is only valid for 120 days. Failure to comply may result in a denial or revocation of your license or certification; denial or termination of your employment or contract; or denial or revocation of the license or certification for a child care center location at which you reside. Providing your social security number (SSN) is voluntary; not providing it could result in an information processing delay. Personal information you provide may be used for secondary purposes [Privacy Law, Wis. Stat (1)(m)]. PLEASE PRINT OR TYPE YOUR ANSWERS. ATTACH ADDITIONAL PAGES IF NEEDED. Check the box that applies to you. Current or Prospective Employee / Contractor Applicant for a license or certification (including continuation or renewal) Household member / lives on premises but not a client (anyone 12 years of age and over). Other Specify: Name (First and Middle) Name (Last) Position Title (If applicable) Any Other Names By Which You Have Been Known (Including Maiden Name) Birth Date Gender (M / F) Race Social Security Number(s) American Indian or Alaskan Native Black Unknown Asian or Pacific Islander White Home Address City State Zip Code Name and address of Potential Employer, Licensing Agency, Certifying Agency, or the child care center at which you reside or will reside. SECTION A ACTS, CRIMES, AND OFFENSES THAT MAY ACT AS A BAR OR RESTRICTION YES NO 1. Do you have any criminal charges pending against you or were you ever convicted of any crime anywhere, including in federal, state, county, local, military, and tribal courts? Have you ever been convicted of another offense such as a municipal ordinance violation or a civil offense under a local ordinance? If Yes, list each pending charge or conviction, when it occurred, the date or arrest and conviction if applicable, and the city and state where the court is located. You may be asked to supply additional information including certified copy of the judgment of conviction, a copy of the criminal complaint or any other relevant court or police documents. 2. Were you ever adjudicated delinquent by a court of law, including tribal court, on or after your 12 th birthday and before your 18 th birthday, for a crime or other offense such as a municipal ordinance violation or a civil offense under a local ordinance? If Yes, list each crime or offense, when and where it happened, and the location of the court (city and state). You may be asked to supply additional information including a certified copy of the delinquency petition, the delinquency adjudication, or any other relevant court or police documents. 3. Are you currently under community supervision by a state, federal or tribal agency (i.e. probation, extended supervision or parole)? If Yes, provide the name, address and phone number of the agency. 4. Are you currently, or have you ever been, required to be registered on a state, tribal or national sex offender registry? If Yes, explain, including the location, reason for registration and length of time required to be registered.

8 Page 2 of 3 Last Name SECTION A ACTS, CRIMES, AND OFFENSES THAT MAY ACT AS A BAR OR RESTRICTION YES NO 5. Are you currently the subject of a child abuse or neglect investigation by a government or regulatory agency? If Yes, explain and provide the name of the agency conducting the investigation. 6. Has any government or regulatory agency (other than the police) ever found that you abused or neglected a child? If Yes, explain, including when and where it happened and the name of the agency that made the finding. 7. Has any government or regulatory agency (other than the police) ever found that you abused or neglected any person or client? If Yes, explain, including when and where it happened. 8. Has any government or regulatory agency (other than the police) ever found that you misappropriated (improperly took or used) the property of a person or client? If Yes, explain, including when and where it happened. 9. Has any government or regulatory agency (other than the police) ever found that you abused an elderly person? If Yes, explain, including when and where it happened. 10. Do you have a government issued credential that is not current or is limited so as to restrict you from providing care to clients? If Yes, explain, including credential name, limitations or restrictions, and time period. SECTION B OTHER REQUIRED INFORMATION YES NO 1. Has any government or regulatory agency ever limited, denied, or revoked your license, certification, or registration to provide care, treatment, or educational services? If Yes, explain, including when and where it happened. 2. Has any government or regulatory agency ever denied you permission or restricted your ability to live on the premises of a care providing facility? If Yes, explain, including when and where it happened and the reason. 3. Have you been discharged from a branch of the U.S. Armed Forces, including any reserve component? If yes, indicate the year of discharge: Attach a copy of your DD214 if you were discharged within the last 3 years. 4. Have you resided outside of Wisconsin in the last 5 years? If Yes, list each state and the dates you lived there.

9 Page 3 of 3 Last Name SECTION B OTHER REQUIRED INFORMATION YES NO 5. Have you had a caregiver background check done within the last 4 years? If Yes, list the date of each check, and the name, address, and phone number of the person, facility, or government agency that conducted each check. 6. Have you ever requested a rehabilitation review with the Wisconsin Department of Health Services or the Department Children and Families, a county department, a private child placing agency, school board or tribe? If Yes, list the review date, the result, the agency that conducted the review and attach a copy of the review decision. A NO answer to all questions does not guarantee employment, residency, a contract, or regulatory approval. I understand, under penalty of law that the information provided above is truthful and accurate to the best of my knowledge. I understand that knowingly providing false information or omitting information may result in a forfeiture and other sanctions as provided by law. SIGNATURE Date Signed

10 Motor Vehicle Information Disclosure Form Referenced policy: PCS (2.4) Exhibit HR - W 2017 Dear Prospective Employee, A Motor Vehicle / Driving Records check must be conducted by the Human Resources Department following the receipt of the signed Motor Vehicle Information Disclosure Form from the prospective employee dependant upon driving as a requirement of the respective job description. The Human Resources Department will follow the criteria identified in the PCS Transportation Policy [PCS (1.1)] when determining eligibility of the applicant as a driver in the company. Please review, answer, and complete the below information if you are willing to authorize Phoenix Care Systems, Inc. to conduct a Motor Vehicle / Driving Record Check. Thank you for your time and assistance today. Has your driver s license been suspended or revoked in the past three (3) years? YES NO Have you been convicted of driving under the influence, manslaughter, or reckless homicide? YES NO Have you caused an accident that resulted in the death of any person? YES NO (Please print legibly) I, AUTHORIZE the release and delivery of all motor vehicle driving records to Phoenix Care Systems, Inc. and its insurance agent New Hampshire Insurance Company/AIG. as listed below and AUTHORIZE Bell Therapy/Willowglen Academy-WI to conduct a Motor Vehicle / Driving Records Check investigation to determine whether I am eligible to drive for the company pursuant to PCS policy and procedure and/or state-specific licensing and/or accreditation standards. PHOENIX CARE SYSTEMS, INC N 51ST BOULEVARD MILWAUKEE, WI New Hampshire Ins. Co/AIG PO Box Nashville, TN Employee/Prospective Employee Information: Full Name: Drivers License Number and State of Issuance: Address: Date of Birth: I, UNDERSTAND that the results of the Motor Vehicle / Drivers Record check will be used for considering and determining prospective or current employment, or service as a volunteer, contractor or consultant with Phoenix Care Systems, Inc. and that my employment offer / employment may be terminated if the results restrict me from driving as required in the respective job description and/or by statespecific licensing and/or accreditation standards. I, FURTHER STATE that the information I have provided my prospective employer or employer regarding my driving record is true and correct and ACKNOWLEDGE that falsification of any information provided to my prospective employer or employer may result in the termination of my employment offer or employment. SIGNATURE: DATE: Page 1 of 1

11 APPLICANT COMPLETE (PLEASE PRINT) PHOENIX CARE SYSTEMS, INC. Human Resources Department 5555 North 51st Blvd., Milwaukee, WI P F APPLICANT S NAME EMPLOYER NAME Past Present EMPLOYER S ADDRESS S.S. # - - FROM / / TO / / CITY PHONE STATE/ZIP FAX I hereby authorize you to provide any information that you may have regarding my performance and character. APPLICANT S SIGNATURE DATE PAST/PRESENT EMPLOYER COMPLETE The above person applied for a position as a. Would you kindly assist us in determining his/her qualifications by checking the following items? Please note the applicant signed and authorized the release of this information. Any information received will be held in confidence. ATTENDANCE INITIATIVE COOPERATION JOB KNOWLEDGE DEPENDABILITY PLEASE RATE THE FOLLOWING AREAS: POOR FAIR SATISFACTORY GOOD EXCELLENT Applicant was employed as: FROM / / TO / / Reason for leaving employment: Would you re-employ? Yes No If no, why not? This person will be directly responsible for the safety/supervision of special needs clientele. Do you feel this person has the ability to work in this environment? Yes No SIGNATURE OF PERSON PROVIDING REFERENCE TITLE DATE MAIL / / FAXED / / PHONED / / PCS HRD ONLY (DATES OF CONTACT) RETURN TO SENDER/UNDELIVERABLE / / OTHER / / DESCRIPTION RETURNED / /

12 APPLICANT COMPLETE (PLEASE PRINT) PHOENIX CARE SYSTEMS, INC. Human Resources Department 5555 North 51st Blvd., Milwaukee, WI P F APPLICANT S NAME EMPLOYER NAME Past Present EMPLOYER S ADDRESS S.S. # - - FROM / / TO / / CITY PHONE STATE/ZIP FAX I hereby authorize you to provide any information that you may have regarding my performance and character. APPLICANT S SIGNATURE DATE PAST/PRESENT EMPLOYER COMPLETE The above person applied for a position as a. Would you kindly assist us in determining his/her qualifications by checking the following items? Please note the applicant signed and authorized the release of this information. Any information received will be held in confidence. ATTENDANCE INITIATIVE COOPERATION JOB KNOWLEDGE DEPENDABILITY PLEASE RATE THE FOLLOWING AREAS: POOR FAIR SATISFACTORY GOOD EXCELLENT Applicant was employed as: FROM / / TO / / Reason for leaving employment: Would you re-employ? Yes No If no, why not? This person will be directly responsible for the safety/supervision of special needs clientele. Do you feel this person has the ability to work in this environment? Yes No SIGNATURE OF PERSON PROVIDING REFERENCE TITLE DATE MAIL / / FAXED / / PHONED / / PCS HRD ONLY (DATES OF CONTACT) RETURN TO SENDER/UNDELIVERABLE / / OTHER / / DESCRIPTION RETURNED / /

13 APPLICANT COMPLETE (PLEASE PRINT) PHOENIX CARE SYSTEMS, INC. Human Resources Department 5555 North 51st Blvd., Milwaukee, WI P F APPLICANT S NAME EMPLOYER NAME Past Present EMPLOYER S ADDRESS S.S. # - - FROM / / TO / / CITY PHONE STATE/ZIP FAX I hereby authorize you to provide any information that you may have regarding my performance and character. APPLICANT S SIGNATURE DATE PAST/PRESENT EMPLOYER COMPLETE The above person applied for a position as a. Would you kindly assist us in determining his/her qualifications by checking the following items? Please note the applicant signed and authorized the release of this information. Any information received will be held in confidence. ATTENDANCE INITIATIVE COOPERATION JOB KNOWLEDGE DEPENDABILITY PLEASE RATE THE FOLLOWING AREAS: POOR FAIR SATISFACTORY GOOD EXCELLENT Applicant was employed as: FROM / / TO / / Reason for leaving employment: Would you re-employ? Yes No If no, why not? This person will be directly responsible for the safety/supervision of special needs clientele. Do you feel this person has the ability to work in this environment? Yes No SIGNATURE OF PERSON PROVIDING REFERENCE TITLE DATE MAIL / / FAXED / / PHONED / / PCS HRD ONLY (DATES OF CONTACT) RETURN TO SENDER/UNDELIVERABLE / / OTHER / / DESCRIPTION RETURNED / /

14 APPLICANT COMPLETE (PLEASE PRINT) PHOENIX CARE SYSTEMS, INC. Human Resources Department 5555 North 51st Blvd., Milwaukee, WI P F APPLICANT S NAME EMPLOYER NAME Past Present EMPLOYER S ADDRESS S.S. # - - FROM / / TO / / CITY PHONE STATE/ZIP FAX I hereby authorize you to provide any information that you may have regarding my performance and character. APPLICANT S SIGNATURE DATE PAST/PRESENT EMPLOYER COMPLETE The above person applied for a position as a. Would you kindly assist us in determining his/her qualifications by checking the following items? Please note the applicant signed and authorized the release of this information. Any information received will be held in confidence. ATTENDANCE INITIATIVE COOPERATION JOB KNOWLEDGE DEPENDABILITY PLEASE RATE THE FOLLOWING AREAS: POOR FAIR SATISFACTORY GOOD EXCELLENT Applicant was employed as: FROM / / TO / / Reason for leaving employment: Would you re-employ? Yes No If no, why not? This person will be directly responsible for the safety/supervision of special needs clientele. Do you feel this person has the ability to work in this environment? Yes No SIGNATURE OF PERSON PROVIDING REFERENCE TITLE DATE MAIL / / FAXED / / PHONED / / PCS HRD ONLY (DATES OF CONTACT) RETURN TO SENDER/UNDELIVERABLE / / OTHER / / DESCRIPTION RETURNED / /