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Notice - Please Contact the MRCOG Title VI Coordinator:
-- For further assistance, if information is needed in another language, if you need assistance in completing this form, need the form in an alternative format (such as a larger font), or need to submit the form in an alternative format (such as a personal interview or by audio recording).
-- If you are deaf or hard of hearing and are requesting an interpreter, please specify the type of interpreter (i.e., American Sign Language (ASL), signed English, Communication Access Real Time Translation (CART), or other) when describing the accommodations you are requesting.
-- If you do not want to send an electronic request, contact the Title VI Coordinator, or submit the information in writing via US Postal Service to the Mid-Region Council of Governments, 809 Copper Avenue NW, Albuquerque, NM 87102.
Contact the MRCOG Title VI Coordinator
Kelly Benavidez at 505-843-1724 or kbenavidez@mrcog-nm.gov
MRCOG Title VI / EEO
Read more about MRCOG's Title VI / EEO & Commitment to Accessibility
Requestor's Information
First Name*
Last Name*
Address*
City
State
Zip Code
Phone Number or TTY / Voice*
Email Address*
Preferred Method of Contact:
1. Email
1. Phone
1. Call
1. Mail
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