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U.S. SENATOR CHRIS COONS of DELAWARE www. coons. senate. gov PRIVACY ACT CONSENT FORM The provisions of Public Law 93-579 Privacy Act of 1974 prohibit the disclosure of information of a personal nature from the files of an individual without their consent. Accordingly I authorize the staff of Senator Chris Coons to make inquiries and to access any and all of my records or files as necessary to assist me in the matter I have stated below Signature Date INFORMATION ABOUT YOU AND YOUR CASE First Name M. I. Last Name Date of Birth Street Address City State Zip Email Address Daytime Phone Number Evening Phone Number Do you currently have a case pending before a local state or federal court pertaining to this matter Circle One YES or NO Federal Agency Involved Your Social Security Number Your Alien Registration Number if applicable U*S* CIS Application Form Number Rank and Military Branch of Service Are you currently working with the offices of Senator Carper or Congressman Carney on this ma....

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How to fill out the 93 579 Chris Coons Form online

The 93 579 Chris Coons Form is essential for individuals seeking assistance from Senator Chris Coons. This guide provides clear instructions on how to complete the form online, ensuring that users can effectively communicate their needs while adhering to privacy regulations.

Follow the steps to fill out the 93 579 Chris Coons Form online:

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling in your personal information in the designated fields, including your first name, middle initial, last name, and date of birth.
  3. Provide your current street address, city, state, and zip code accurately.
  4. Enter your email address along with your daytime and evening phone numbers, ensuring that you can be reached easily.
  5. Indicate whether you have a case pending by circling ‘YES’ or ‘NO’—be sure to consider your current situation before making this choice.
  6. If applicable, provide the name of the federal agency involved in your case, your Social Security number, and your Alien Registration number.
  7. Fill out the U.S. CIS Application Form number along with your rank and military branch of service, if relevant.
  8. If you are working with Senator Carper or Congressman Carney, note this by circling ‘YES’ or ‘NO’, and specify their details if applicable.
  9. In case of an emergency, you may authorize someone to discuss your case with the office by circling ‘YES’ or ‘NO’, and specify the person if you choose to.
  10. Review all the information provided for accuracy before signing and dating the form.
  11. Once completed, you can save your changes, download the form, print a copy for your records, or share it as needed.

Get started by completing the 93 579 Chris Coons Form online today.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232