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STATE REPRESENTATIVE MAURICE WEST | 200 S. WYMAN, STE. 304 | ROCKFORD IL, 61101 | USA

815.987.7433 | ASSISTANCE@STATEREPWEST.COM

© Copyright 2019 State Representative Maurice West. All rights reserved.

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Complete the form below as detailed as possible.  We cannot begin to address your issue without extensive information.  Once we have the needed information, Representative West and the district office will assist you to the full extent of our ability. 

This website and these forms are for STATE BUSINESS only. Do not use these forms if your questions are related to my re-election campaign or the campaign of any other candidates.

Thank you.