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Consent first
Before we ask you anything, please read and sign the consent form.
Translation is off while you sign. If you need help, ask for an interpreter.
Write your name the way you sign it.
Consent Form
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In short
- You agree to work with the Louisiana disaster case management program on your recovery from Tropical Storm Arthur.
- We keep what you tell us private and share it only as the Release of Information allows.
- You can stop at any time. Tell your case manager, and we stop collecting from that day.
Your signature
Sign in the box with your finger or a mouse. If you can't draw, choose Type my name.
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