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Fill and Sign the Request for Hearing Assignment Form

Fill and Sign the Request for Hearing Assignment Form

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SBA Community Express Monitoring Report To be completed by the Technical Assistance Provider Technical Assistance Provider: Date of Report: Client/borrower Name: Monitoring report is required: quarterly semi-annually (circle one) Date of meeting with client/borrower: List of meeting participants (names and affiliations): Documents reviewed during meeting: Problems addressed during meeting: Additional comments: Monitoring report completed by: Signature Name (please print) Please mail completed form to: Erica Opstad, Vice President U.S. Bank Community Programs & Outreach Manager 5787 Chesapeake Court, Ste. 201 San Diego, CA 92123 Date

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