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After filling out and printing this form it must be brought into our office to be finalized, at which time a deposit will be paid.
“This is an Equal Opportunity Program. Discrimination is prohibited by Federal Law.” To file a complaint of discriminationwrite USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, DC 20250-9410 or call (800) 795-3272 (Voice) or (202) 720-6382 (TDD).