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DEFENSE SERVICE OFFICE DSO Form (Rev. 1410) Contact: DSO NORTH CDO (202) 4201267 Mandatory Use DEFENSE SERVICE OFFICE Intake Personnel Initials / Date: / Time: Field Call Location: WNYD SUBASE NLON.

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How to fill out the Privacy Act Cover Sheet online

Filling out the Privacy Act Cover Sheet online is an essential process for ensuring your personal information is managed properly. This guide will provide you with clear and detailed steps to help you navigate each section of the form efficiently.

Follow the steps to complete the Privacy Act Cover Sheet effectively.

  1. Press the ‘Get Form’ button to obtain the Privacy Act Cover Sheet and open it in your preferred online editor.
  2. Begin by completing the intake section. Enter the initials of the personnel assisting you, followed by the date and time of your visit. Specify the field call location from the provided options.
  3. Review the Privacy Act statement carefully. This section outlines the authority, principal purpose, and routine uses of the information you will provide. Ensure you understand these before proceeding.
  4. Fill in your personal information, including your last name, first name, middle initial, gender, date of birth, and branch of service. Select your current status as either 'active duty' or 'reserves.'
  5. Provide your contact information. This includes your street address, city, state, and zip code. List your phone numbers for home, cell, and work. Include your preferred method of contact and your email address.
  6. Indicate the legal advice or services you need by checking all applicable boxes. This may include options such as administrative separation or court-martial charges.
  7. Write a brief explanation of the reason you are seeking assistance. Ensure that this section is clear and concise to help the attorney understand your concerns.
  8. If there are any other personnel involved in your case, list their names, ranks, rates, and units as applicable.
  9. Indicate whether you have previously discussed this matter with another attorney. If yes, provide their name and the relevant dates.
  10. Upon completing the form, review all entries for accuracy. You may then save your changes, download the document, print it, or share it as needed.

Complete your Privacy Act Cover Sheet online today to ensure your information is properly processed.

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The four basic objectives of the Privacy Act are: to restrict disclosure of personally identifiable information (PII) to those who have a need in the performance of their duties; to grant individuals access to records maintained on themselves; to permit individuals to gain access and to correct records that are not ...

The Privacy Act of 1974 as amended at 5 U.S.C. 552a, is a code of fair information practices which mandates how Federal agencies, like the Department of Defense, maintain personally identifiable information (PII), i.e., records that uniquely identify you.

DD Form 2923, the Privacy Act Data Cover Sheet, is used to identify and safeguard personally identifiable information (PII) contained in hard copy documents. Its use is currently a Department of the Navy "best practice."

This privacy act statement provides noncriminal justice applicants notification of how their fingerprints and associated information will be used by the FBI for noncriminal justice purposes, such as licensing and employment. It can be found on the back of the FD-258 fingerprint card.

Federal agencies are required to provide what is commonly referred to as a “Privacy Act Statement” to all persons asked to provide personal information about themselves, which will go into a system of records (i.e., the information will be stored and retrieved using the individual's name or other personal identifier ...

The Privacy Act of 1974, 5 U.S.C. 552a, provides protection to individuals by ensuring that personal information collected by federal agencies is limited to that which is legally authorized and necessary and is maintained in a manner which precludes unwarranted intrusions upon individual privacy. Pursuant to 5 U.S.C.

When mailing documents containing PII, double wrap the contents and mark the inner container/envelope with either "FOUO - Privacy Sensitive. Any misuse or unauthorized disclosure may result in both civil or criminal penalties" or attach this cover sheet.

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