Get Privacy Release Form

Filling out the Privacy Release Form online is an essential step in authorizing your congressional representative to request information on your behalf. This guide will walk you through the necessary steps to complete the form accurately and efficiently.

Follow the steps to fill out the Privacy Release Form online

1. Press the ‘Get Form’ button to access the Privacy Release Form and open it in your preferred online editing tool.
2. Begin by entering your last name and first name in the designated fields. Choose the appropriate title (Mr., Mrs., Ms.) to identify yourself.
3. Provide your current physical address, ensuring that you do not use a P.O. Box. Include the street address, city, and zip code for accurate correspondence.
4. Fill in your telephone numbers, including a home and work contact number. If you don't have a work number, leave that field blank.
5. Enter your email address to facilitate communication regarding your request.
6. Complete your date of birth, social security number, Veterans Administration number, immigration number, and case number as applicable.
7. In the section marked for the nature of your problem, briefly and clearly describe your issue. Be specific to ensure proper handling of your request.
8. Authorize Congresswoman Carolyn McCarthy to act on your behalf under the Freedom of Information and Privacy Act. Ensure that you understand this authorization.
9. Confirm that you are a current resident of the specified congressional district. Make sure that the information provided is truthful and complete.
10. Sign and date the form at the bottom where indicated, ensuring your signature represents your consent.
11. Once you have filled out the form, save your changes. You can also download, print, or share the completed form as necessary.

Complete your Privacy Release Form online today to ensure your request is submitted accurately.