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Casework Steps
1) Complete, print and sign this PRIVACY RELEASE form. Due to the Privacy Act, I need written permission from you in order to look into your case. You can download and print the form here, or request a copy of the form be mailed to you from my office. 2) Gather important paperwork. Please provide copies of letters from the involved agency, medical forms or any other pertinent documentation that may help me and my staff discuss your case with the appropriate agency. Please keep the originals of these documents yourself and send copies, as they will not be returned to you. 3) Please provide a written account of your problem. Include a detailed account of the problem, actions you have taken, the dates those actions occurred, responses from the agency and any other information you think would be helpful.
Mail the collected information to my office
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Little Rock Office Toll Free from AR:
Washington, D.C. Office |
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