Thank you for your interest in NRCIL services. Please fill in , (or if you are being assisted by an outside agency) the following information to the best of your ability and you will be contacted by an advocate within the next 5 business days for follow up on your concerns. If you received this from an advocate, your advocate will follow up with you after receiving your information. If you need help completing this form, please contact our office for assistance at (315)785-8703 or by emailing nrcil@nrcil.net. Thank you! FOR RELEASE OF INFORMATION Please to FAX:(315)-785-8612, Or Secure EMAIL to auditclerk@nrcil.net