0lfice of Congresslvonran

Anna Eshoo
PrivacyConsentFornr
Date: 4 X*ba.C6
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Pleasebrieflr'erplain the problem)'ou are currentlrhar.'ing
vyitfia fbcleral
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unemplo-y'edcurclutrcnrytlr1\'uble v'ith no.finu{s to por'.frtr rt,ttt. trtilitic.s,.fittxl,
lratt.s\srtt'lctlitttt,ctc. ]lec't'it'ittg :ero ittctnte and n(rte atttic:tTtutec!utn' litttt, .sootr.Jlettt cunl
utilitie.s ore o|ercltre, ttttcl I v'otrld hcn'eno pluc'c to lit'e i.f t,t,ic'taclru' cun'ilt()trct.fgt. fixxl.

Pleasedescnbethe natttreand dateof vour latestcon'esponclence

or coltact
r'l'itlr tlre agenc\'. Spokeon phone [:'riciltt,,29Sepiernher20()6.i\lcrilecl(cerrilietlnuril,
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[{ave you contactedthis oflice trefrrreregardingthis nratter']If so, p,6e1'l

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ln accordance w'iththe provisionsof the Privacl'Act. I herebyautSttrize

Congresswoman Anna Eshooattdher stalt to rnakeinqurrieson my belalf
alld to receiveconficlential
infot'nration
in their ef'fortsto assistme irr
resolvinga fbderalagenc),' nratter.

IYlrln,.G-a{.{ LAQ
Signature
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PrintedNarne
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Date