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U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
WASHINGTON, DC 204105000OFFICE OF PUBLIC AND INDIAN HOUSINGDear PHA Executive Director:August 4, 2015Thank you for your commitment and efforts in ending
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Start by opening the form on your computer or print it out if you prefer.
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Begin by entering the current date in the designated field.
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Next, provide your full name and contact information, such as address, phone number, and email.
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If applicable, indicate any organization or company you represent or are affiliated with.
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Address the form to the executive director of the PHA (Public Health Agency) by entering their name and job title.
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Sign the letter at the bottom and include any additional attachments or documentation, if necessary.
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Anyone who wants to voice their opinions, seek clarification, or request changes regarding public health matters can utilize this form.
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