1. TO WHAT DO YOU OBJECT? (Please be specific; cite pages or sections) 2. WHY DO YOU OBJECT TO THIS MATERIAL? 3. DID YOU EXAMINE ALL OF THIS MATERIAL? Yes No If you answered please explain what parts of the material you did examine “NO”, REQUEST FOR INTERPRETER Request for interpreter Yes No If you replied please indicate Speaker’s Native Language “Yes,” SIGNATURE OF PETITIONER DATE
1. TO WHAT DO YOU OBJECT? (Please be specific; cite pages or sections) 2. WHY DO YOU OBJECT TO THIS MATERIAL? 3. DID YOU EXAMINE ALL OF THIS MATERIAL? Yes No If you answered “NO”, please explain what parts of the material you did examine REQUEST FOR INTERPRETER Request for interpreter Yes No If you replied “Yes,” please indicate Speaker’s Native Language SIGNATURE OF PETITIONER DATE
mis1065-citizen-request-reconsid-instruct-material.docx