Fort Gordon Inspector General

- Wilson A. Rivera Fort Gordon Public Affairs Office Hispanic Heritage is celebrated from Sept. 15 to Oct. 15, which within this period many...
- By Laura Levering Fort Gordon Public Affairs Office School officials from Richmond, Columbia, and Aiken counties met during the Fort Gordon...
- By Bonnie Heater Fort Gordon Public Affairs Office As autumn arrives, so too does Oktoberfest at Fort Gordon. The celebration begins Oct. 2,...
- Wilson A. Rivera Fort Gordon Public Affairs Office Georgia Regents University hosted a pre-conference cross-country meet for the first time on...
- Dwight D. Eisenhower Army Medical Center will host the semiannual Army Substance Abuse Program prescription drug “Take Back Day” Saturday from 10 a.m. until 2 p.m. on the second floor of...
- The TuTus for Cancer 5K run will be Saturday at 9 a.m. at the Fisher House. For more information call, (706) 791-6433. FG_AUTHORS: ohtuser0...
- Troops to Teachers will hold a Transition to Teaching Seminar Thursday at 9:30 a.m. at the Education Center, 741 Barnes Ave. For more information go to www.tttga.net or call (404) 413-8199....
- Fort Gordon’s Directorate of Family and Morale, Welfare and Recreation lists upcoming 5K races atwww.fortgordonrunseries.com.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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