Transcription of USDA Discrimination Complaint Form
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USDA Discrimination Complaint Form
AD-3027 (1/19/12) OMB Control Number 0508-0002 UNITED STATES DEPARTMENT OF AGRICULTURE ( usda ) usda Program Discrimination Complaint Form Instructions (The Complaint form is below the instructions) PURPOSE: This form may be used if you believe you have been subjected to Discrimination in any usda program or activity and you wish to file a Complaint of Discrimination .
the complaint form. You may write a letter instead. If you write a letter it must contain all of the information requested in the form and be signed by you or your authorized representative. You may also send a complaint by FAX or United States Postal Service Mail. We must have a signed copy of your complaint.
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