Get Privacy Authorization Form - Congressman Scott Tipton - Tipton House

The Privacy Authorization Form allows constituents to authorize Congressman Scott Tipton's office to request information from federal agencies on their behalf. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and effectively.

Follow the steps to fill out the Privacy Authorization Form online.

1. Click ‘Get Form’ button to obtain the Privacy Authorization Form and open it for completion.
2. Enter your full name in the 'Constituent Name' field. This section should reflect your legal name as it appears on official documents.
3. Provide today's date in the 'Today's Date' field. Ensure it is the date you are filling out the form.
4. Input your date of birth in the 'Date of Birth' section. Use the format MM/DD/YYYY for clarity.
5. Fill in your Social Security Number (SSN) in the designated field. This is necessary for identification purposes.
6. Complete the 'Current Address' field with your present residential address. Include street, city, state, and zip code.
7. Provide your contact telephone number in the 'Contact - Telephone' field. Ensure this number is reachable.
8. Give your email address in the 'Contact - Email' section. This will be used for further communication regarding your request.
9. Indicate the agency involved in your case in the 'Agency Involved' field. This helps clarify where the request will be directed.
10. Enter your case number in the 'Case No.' field if applicable. This helps in tracking your request with the agency.
11. Sign your name in the space provided to authorize the release of your information. Your signature confirms your consent.
12. If you are working with another Congressional office, mention the details in the specified section.
13. Provide a brief description of your concern in the space provided. Attach any relevant documentation that may assist in your request.
14. Once the form is fully completed, save your changes, and consider downloading, printing, or sharing as needed for further processing.

Complete your Privacy Authorization Form online today to ensure your inquiry is initiated promptly.