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Disability Resource Center
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Sample Service Verification Form

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DRC_service-verification-form.doc

Sample Service Verification Form

Updated: Monday, April 16, 2012

Contact Us

Disability Resource Center

U.S. Department of Transportation

1200 New Jersey Ave, SE

W56-403

Washington DC 20590

Phone:

(202) 493-0625

Fax:

(202) 366-3571

TTY / Assistive Device Number:

(202) 366-5273

8:30am-5:00pm ET, M-F

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U.S. DEPARTMENT OF TRANSPORTATION

1200 NEW JERSEY AVENUE, SE

WASHINGTON, DC 20590

855-368-4200

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