Joint Readiness Training Center (JRTC) and Fort Polk
Monthly Community Action Council
Council Issue Form

(See Instruction Below)

PRIVACY ACT STATEMENT:  The authority to collect the personal information requested in Questions 5 - 10 is derived from 5 U.S.C. 301 Departmental Regulations.  Furnishing the information to the ACS staff is completely voluntary.  You are not required to provide the personal information to submit your issue.  The information will enable us to contact you if we have a question or need clarification of your input.

1. Enter your ISSUE TITLE in the space provided below.

   
   

2. Please explain the SCOPE of the issue:

   
   

3. Please describe your RECOMMENDATIONS:

   
   

4. Your Name: 
   

5. Your Phone Number:  A value is required.Invalid format.

6. Your Email: A value is required.Invalid format.

You can submit your CAC issues 4 ways:

2.  You may pick a form up at the Community Life Office, bldg 924.  531-1897/7094 

3.  You may call in your CAC Issues at:  531-2221.

4.  Submit your issues via email to polk.CAC@conus.army.mil