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515 Pacific Avenue Audubon, IA 50025

Phone: (712) 563-2611

To Schedule An Appointment with a Specialist

Call 712.563.5304

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Obtain or Release Information of PHI Request Form 2023

Posted March 28, 2023

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This institution is an equal opportunity provider and employer. If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.

Obtain or Release Information of PHI Request Form 2023

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