Fort Gordon Inspector General

- By Laura Levering Fort Gordon Public Affairs Office Dwight D. Eisenhower Army Medical Center hosted its first Retirees and Newcomers Fall...
- By Laura Levering Fort Gordon Public Affairs Office Most stories are told through written words. For some, a story doesn’t require any...
- By Bonnie Heater Fort Gordon Public Affairs Office As part of a pilot program linking the National Collegiate Athletic Association’s...
- Halloween Safety Night will be observed in all housing areas except Boardman Lake on Fort Gordon tonight from 6 p.m. until 8 p.m. The installation Halloween night is not open to the public....
- By Laura Levering Fort Gordon Public Affairs Office Pushing an M1114 Up-Armored Humvee is an unlikely feat for even the strongest individuals,...
- There will be a Caregiver Peer to Peer Support Initiative for all military caregivers from 9 a.m. until 11 a.m. Thursday at Friendship Chapel, Bldg. 25603, Barnes Ave. This is an opportunity to...
- The Soldier and Family Assistance Center will hold a Warrior Care Month Expo from 8 a.m. until 1 p.m. Wednesday at the Fort Gordon Reserve Center. For more information, call (706) 791-8777....
- Evans Towne Center will host Christmas in the Park on Dec. 6 from 10 a.m. until 4 p.m. with a tree lighting at 5 p.m. There will be ice skating, a trackless train, and the world’s largest...

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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