Add a New Ticket (* = required fields)
Name:    *
Are You a Member?:     *
Last 4 of Social Security #: 

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Home Email Address:    (required if available, or type 'none')
Secondary Email Address:   
Home Mailing Address: 

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City: 

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State: 

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Zip Code: 

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Primary Phone Number: 

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Secondary Phone Number:      
Other Phone Number:      
Best Times to Call:       Advocacy center hours are 9-5 Mon-Fri
Prior contact with NCAE Advocacy Center?: 

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School District Name: 

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Work Site Name:   
Position: 

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Years in District:   
Career Status/Tenured: 

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Date of Complaint, Problem or Occurrence:    / / * (mm/dd/yyyy)
Is there a Deadline or Meeting Related to your Inquiry?:      * If Yes, please note date and time:
Current Status: 

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Have you contacted your local association?:      * If Yes, who did you contact?: 
Issue/Problem Description

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To ensure this is a real person filling out this form,
please enter the letters NCAE into the box to the right, then click Submit.

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