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Staff Manual Guide 2610.2, Attachment A

DATE:  
FROM: Compliance Officer, Administrative Officer or other appropriate official
RE: Request for Expert/Fact Witness Services
TO:  

It is requested that the services of the following expert/fact witness(es) be obtained:

1. Name, Address, Telephone Number, Social Security Number.

2. City and State in which services are to be rendered.

3. Estimated Period of Performance.

4. Nature of Services required.

5. Estimated Fees.