APPENDIX B

United States Department of Justice
Organization, Mission and Functions Manual

Request Form

Name:  
Title:  
Office/Division:  
Address:  
City:  
State:  
Zip code:  
Phone:  
Fax:  

Return the completed form to the Management and Planning Staff (MPS), National Place Building, 1331 Pennsylvania Avenue, NW, Suite 1400, Washington, DC 20530.

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