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In accordance with the Privacy Act of 1974, I give Congressman Charlie Dent authority to act on my behalf.

Your Information

What are these options?
This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option "Voice" is a normal audible telephone.

Nature of Problem
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Use the Generate Request button to produce the document to authorize my office to help you. Then sign it and mail it to the address shown on the document. Please include any other documents or material that you think would help my office help you.