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Dear Oregonian:

If you need assistance with a federal agency, please fill out this form and submit it with any necessary documentation and background information. My office will contact you as soon as we receive the form. In some cases, my office may ask you to fill out a Privacy Release Act form, which when signed and returned to us, will prove to federal agencies that we are working on your behalf and with your permission.

Please submit the following form online, or mail, fax or e-mail a completed casework form to Senator Wyden's Portland office:

Senator Ron Wyden
911 NE 11th Avenue, Suite 630
Portland, OR 97232
FAX: 503-326-7528
E-MAIL: caseworker@wyden.senate.gov

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Your Name

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