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If you have a specific problem that you feel my office can assist in resolving, please fill out the form below, and one of my Constituent Representatives will be in contact with you. Please remember, due to the Privacy Authorization Act of 1974, all requests for assistance must be in writing, addressed directly to me, as your Congressman, and initiated by the constituent involved. I am unable to act on any third party requests, until I receive a request in writing from the actual involved party.
A privacy authorization consent form is included on this site which would satisfy the Privacy Act requirement. This form is best viewed in Adobe Acrobat Reader version 4.0 or higher, which can be obtained from Adobe.com free of charge. A link to Adobe is provided below. Please complete the form, and forward to my Monticello District office, along with any additional information regarding your situation. For more information regarding this service, please contact my Monticello District office at 100 S. Main Street, Monticello, IN 47960, or call (574) 583-9819.
If you require special accessibility in order to read this application, Adobe.com offers online conversion tools at: http://www.access.adobe.com
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