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FOR OFFICE USE ONLY DATE RECEIVED: CASE NUMBER: COMPLAINT ALLEGING FAILURE OF DEPARTMENT OF JUSTICE EMPLOYEE TO PROVIDE RIGHTS TO A CRIME VICTIM UNDER THE CRIME VICTIMS RIGHTS ACT OF 2004 Return signed
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Provide personal details: Start by filling out your personal details such as your name, address, social security number, and contact information. Make sure to double-check the accuracy of this information.
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