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Get DC Request For Congressional Inquiry & Privacy Release_DSA

T must have your written authorization before he can initiate an inquiry with a federal agency on your behalf. TO WHOM IT MAY CONCERN: I respectfully request and authorize U.S. Representative Louie Gohmert, 1 st Congressional District of Texas or any authorized member of his staff to act on my behalf and to receive information from the proper officials regarding my issue. X Date Signature Name (please print): First.

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