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PLEASE NOTE: If you are contacting the Congresswoman about an urgent, casework-related issue – such as passports, visas, lender issues, or issues you have with a federal agency – please do not use this form. Instead, please call the Palo Alto office immediately at (650) 323-2984 and leave an urgent phone message.

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Office Locations

Office Name	Location	Image	Map URL
Washington, D.C.	241 Cannon Building Washington, DC 20515 Phone: (202) 225-8104 Fax: (202) 225-8890		http://goo.gl/cZ2cWy
Palo Alto, California	698 Emerson Street Palo Alto, California 94301 Phone: (650) 323-2984 Phone: (408) 245-2339 Phone: (831) 335-2020 Fax: (650) 323-3498		http://goo.gl/Jqj8hq

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Label (no spaces or special characters)	Value	Comments (optional)
repName	John Smith
helpWithFedAgencyAddress	Haverhill District Office 1234 S. Courthouse Haverhill, CA 35602
district	21st District of California
academyUSCitizenDate	July 1, 2012
academyAgeDate	July 1, 2012
academyApplicationDueDate	October 20, 2012
repStateABBR	AZ
repDistrict	1
repState	Arizona
repDistrictText	1st
repPhoto
SponsoredBills	Sponsored Bills
CoSponsoredBills	Co-Sponsored Bills

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