This technical assistance form is designed to assist us in providing you the assistance you may need. When filling out this form, please be as specific and detailed as possible. It is important that all questions be answered fully and completely.

We will be responding to your request within 15 days of receipt. If you do not hear from us within 15 days, please contact us.

Although we keep our files confidential, submitting cases via e-mail is not a secure means of transmission. If you do not wish to submit your form via e-mail, you may download and fill out the form, print it and mail it to the postal address: 1229 NW 12th Ave, Gainesville, FL 32601-4113

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Please describe the problem. If you have documents to support your description, please print out this form and mail it, along with other pertinent information, to the above address.  We will accept file attachments if you wish them to accompany this request for assistance.

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