Fort Gordon Inspector General

- By Laura Levering Fort Gordon Public Affairs Office Some of the Army’s most successful leaders have a long lineage of family who served...
- By Laura Levering Fort Gordon Public Affairs Office Some of the Army’s most successful leaders have a long lineage of family who served...
- By Laura Levering Fort Gordon Public Affairs A community is safest when its citizens are proactive.Fort Gordon Directorate of Emergency...
- By Wesley Elliott DDEAMC Public Affairs Officer The Dwight D. Eisenhower Army Medical Center will officially open the doors to a newly upgraded...
- The Dwight D. Eisenhower Army Medical Center will hold three Saturday school screenings for students new to the public Georgia school system. On July 26, Aug. 2 and Aug. 16 from 8 a.m. until 2 p.m....
- There will be a Hook a Soldier on Golf clinic Saturday at 10 a.m. at the Gordon Lakes Golf Club. The clinic is free. Call the Pro Shop at (706) 791-2433 for more information. FG_AUTHORS: ohtuser0...
- Better Opportunities for Single Soldiers will hold the 2014 Battle of the Colors 5K on Aug. 16 at 9 a.m. at the Recycling Center area. There will be male and female winners in several categories....
- The 67th Signal Battalion will hold an assumption of responsibility 1 p.m. today at the Barton Field reviewing stand. FG_AUTHORS: ohtuser0...

Action Request Form

INSPECTOR GENERAL

ACTION REQUEST FORM

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY:
Title 10, USC, Section 3020.

PRINCIPAL PURPOSE:
To secure sufficient information to inquire into the matters presented and to provide a response to the requester(s) and / or take action to correct deficiencies.

ROUTINE USES:
Information in used for official purposes within the Department of Defense; to answer complaints or respond to requests for assistance, advice, or information: by Members of Congress and other Government agencies when determined by The Inspector General to be in the best interest of the Army; and, in certain cases, in trial by courts-martial and other military matters as authorized by the Uniform Code of Military Justice, Department of Defense Blanket Routine Uses also apply.

DISCLOSURE:
PERSONAL INFORMATION IS VOLUNTARY, HOWEVER, FAILURE TO PROVIDE COMPLETE INFORMATION MAY HINDER PROPER IDENTIFICATION OF THE REQUESTER, ACCOMPLISHMENT OF THE REQUESTED ACTION(S), AND RESPONSE TO THE REQUESTER.

Use the Following Template:

Last Name - First Name - Middle Initial:

Grade/Rank:

Complete Military Address:

Preferred Contact Telephone: (Home) (Duty) (Cell)

ADDRESS LINE 1:

ADDRESS LINE 2:

If country is not United States, you can type over the US in the country field to enter appropriate country.

CITY:

STATE:       ZIP:       COUNTRY:

Email Address:

I do / I do not consent to release my personal information outside official channels in order to resolve the matters listed about. I understand that if I do not agree to release my personal information, my request for assistance may go unresolved.

Email Template This email address is being protected from spambots. You need JavaScript enabled to view it.

This information is submitted for the basic purpose of requesting assistance, correcting injustices affecting the individual, or eliminating conditions considered detrimental to the efficiency or reputation of the Army. Those who knowingly and intentionally provide false statements on this form are subject to punitive and administrative action (UCMJ Art 107, 18 USC 1001).


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