INTEREST-IN-RELIEF FORM

To be considered for an award of individual relief – a cash award and/or consideration for priority transfer out of WHV – you must have completed and submitted an Interest-in-Relief Form to the United States no later than April 19, 2021.

How to Access the Interest-in-Relief Form

• Click  here to download the Interest-in-Relief Form. Note: After the April 19 deadline, this form will no longer be available for download. Please contact us if you need the form.
  To complete the form on your mobile device, use the Adobe Acrobat app.

• Instructions to download and use Adobe Acrobat on Apple devices
• Instructions to download and use Adobe Acrobat on non-Apple devices

• Check your mail and/or email.  All current and former female WHV COs will be sent an Interest-in-Relief Form to the address and email address on file.

Instructions for Completing the Interest-in-Relief Form

• Fill out completely every section of the Interest-in-Relief Form.
   
• Sign the Interest-in-Relief Form.  Electronic signatures are permitted.
   
• Submit the Interest-in-Relief Form to the United States by April 19, 2021:
   
  • By email to Community.MichiganDOC@usdoj.gov
    • To avoid any possible mail delays, we prefer submission by email if possible.
    • If you use the Adobe Acrobat app on your mobile device, click “Submit Form by Email” at the end of the form to submit your completed form.
    • If you scan your form, please make sure each page is clear and complete.
       
  • Or by U.S. mail to:
     
    U.S. Department of Justice
    MDOC Settlement Team
    Civil Rights Division/ELS
    P.O. Box 14400
    Washington, DC  20044-4400

Learn more and get the complete instructions to the Interest-in-Relief Form.