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Get Congressional Inquiry

PHONE: WORK PHONE: ZIP: Federal Agency: Have you contacted our office before? Have you contacted another congressional office regarding this matter? If “yes” to the above, which office & when? Please briefly explain your problem and outline the steps that have been taken by you and the agency with regard to your situation. If you need additional room you may attach a letter or write on the back of this form. I hereby request the assistance of the Office of United States Representative J.

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