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Office of Representative Jeramey Anderson

Office of Representative Jeramey Anderson

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    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
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    • Iceland
    • India
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    • Iraq
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    • Jersey
    • Jordan
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    • Kenya
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    • Lebanon
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    • Liberia
    • Libya
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    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
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    • Slovenia
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    • Somalia
    • Somaliland
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    • Spain
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    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
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    • Turkmenistan
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    • Ukraine
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    Have you spoken to a state agency regarding this issue?  If so, which agency? (ex. Department of Revenue)
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    CONSENT FOR RELEASE OF PERSONAL RECORD INFORMATION

    The Privacy Act of 1974 generally prohibits applicable Government agencies from revealing particular information from personal files of individuals without the express consent of the person involved. Disclosure of personal records to a Representative who is acting on behalf of a constituent may be prohibited unless the individual to whom the record pertains has consented.

    I, the undersigned, hereby authorize Representative Jeramey Anderson and/or his staff to receive information in my file in connection with his and/or his staff's inquiry on my behalf.

    *PLEASE BE ADVISED THAT A PHYSICAL COPY OF THIS CONSENT WITH YOUR SIGNATURE MUST BE ON FILE IN ORDER TO COMPLETE YOUR REQUEST*

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    The Privacy Act of 1974 generally prohibits applicable Government agencies from revealing particular information from personal files of individuals without the express consent of the person involved. Disclosure of personal records to a Representative who is acting on behalf of a constituent may be prohibited unless the individual to whom the record pertains has consented.I, the undersigned, hereby authorize Representative Jeramey Anderson and/or his staff to receive information in my file in connection with his and/or his staff's inquiry on my behalf.*PLEASE BE ADVISED THAT A PHYSICAL COPY OF THIS CONSENT WITH YOUR SIGNATURE MUST BE ON FILE IN ORDER TO COMPLETE YOUR REQUEST*
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    The Privacy Act of 1974 generally prohibits applicable Government agencies from revealing particular information from personal files of individuals without the express consent of the person involved. Disclosure of personal records to a Representative who is acting on behalf of a constituent may be prohibited unless the individual to whom the record pertains has consented.I, the undersigned, hereby authorize Representative Jeramey Anderson and/or his staff to receive information in my file in connection with his and/or his staff's inquiry on my behalf.*PLEASE BE ADVISED THAT A PHYSICAL COPY OF THIS CONSENT WITH YOUR SIGNATURE MUST BE ON FILE IN ORDER TO COMPLETE YOUR REQUEST*
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