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Constituent Service Inquiry
If you need help with an agency of Virginia government, need forms, documentation or have another request or question to ask, please take a moment to complete this form in order to help Bill DeSteph and his staff serve you better.
Name *
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Street Address *
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City *
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State *
ZIP Code *
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Telephone Number *
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Would you prefer that we respond to you by: *
If you prefer a response by phone, what is the best time to call you?
How can Senator DeSteph help you?
If you are seeking information, need assistance with an agency of state government or would like to make a request, please make your selection from any or all of the following three sections.
If you have more details, please include them in the space provided.
I need information about:
If your response to the previous question was "other," please indicate what information or documentation you are seeking?
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I need assistance with
If your response to the previous question was "other," please indicate which agency or department you are seeking help with.
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I would like to request
If your response to the previous question was "other," please provide more specific information to help us fulfill your request.
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Please provide any further information that you feel is important to convey to Senator DeSteph and his staff.
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Disclaimer
Paid for and authorized by Friends of Bill DeSteph. No taxpayer funds were used.
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