Loading
Form preview picture

Get Census BC-300 2016-2024

FORM BC-300 9-6-2012 U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration U.S. CENSUS BUREAU CERTIFICATION OF IDENTITY PRIVACY ACT STATEMENT In accordance with 15 CFR Section 4. 24 d the U*S* Census Bureau requires you provide us with sufficient information to identify you when you submit requests by mail or otherwise not in person under the Privacy Act of 1974 5 U*S*C. Section 552a* We take this step to ensure that we do not wrongfully disclose the records of individuals who are the subject of U*S* Census Bureau systems of records. Providing this information is voluntary however if you do not provide it we will be unable to take action on your request. If you provide false information on this statement you may be subject to criminal penalties under 18 U*S*C. Section 1001 and/or 5 U*S*C. Section 552a i 3. REQUESTER INFORMATION Last Please print or type 1. Full name of requester/ Subject of record s sought First Please print or type Place of Birth Please print or type 2. Current address 4. Information being requested Please describe in as much detail as possible. 5. Declaration State Office Use Only PA/FOIA Control Clear Fields ZIP Code Self Guardian of individual whose record s is sought Enclose copy of appointing document Parent of minor child whose record s is sought Please print or type I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct and that I am the person named above and I understand that any falsification of this statement is punishable under the provisions of 18 U*S*C. Section 1001 by a fine of not more than 10 000 or by imprisonment of not more than five years or both and that requesting or obtaining any record s under false pretenses is punishable under the provisions of 5 U*S*C. 552a i 3 by a fine of not more than 5 000. Original Signature of Requester 6. Authorization to release information to another person* Date of Birth mm/dd/yyyy Address Number and street Please print or type City Please print or type 3. Requester status Mark X appropriate box. Middle Please print or type Date a* If you are authorizing information relating to yourself to bereleased to another person Please fill in the information below. Name of authorized recipient Please print or type b. Further pursuant to 5 U*S*C. Section 552a b I authorize the U*S* Census Bureau to release the above-described information relating to me. 24 d the U*S* Census Bureau requires you provide us with sufficient information to identify you when you submit requests by mail or otherwise not in person under the Privacy Act of 1974 5 U*S*C. Section 552a* We take this step to ensure that we do not wrongfully disclose the records of individuals who are the subject of U*S* Census Bureau systems of records. Section 552a* We take this step to ensure that we do not wrongfully disclose the records of individuals who are the subject of U*S* Census Bureau systems of records. Providing this information is voluntary however if you do not provide it we will be unable to take action on your request.

How It Works

type 552a census rating
4.8Satisfied
52 votes

Tips on how to fill out, edit and sign Requester census online online

How to fill out and sign Census 300 fill online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Experience all the key benefits of completing and submitting legal forms on the internet. With our service completing Census BC-300 requires just a few minutes. We make that possible by offering you access to our feature-rich editor effective at altering/correcting a document?s initial text, inserting unique boxes, and putting your signature on.

Execute Census BC-300 in just several moments by following the instructions below:

  1. Pick the document template you need from our collection of legal forms.
  2. Click on the Get form button to open it and begin editing.
  3. Fill out all of the requested boxes (they will be marked in yellow).
  4. The Signature Wizard will allow you to add your e-signature as soon as you?ve finished imputing information.
  5. Insert the relevant date.
  6. Look through the whole template to ensure you?ve completed everything and no changes are required.
  7. Click Done and save the ecompleted form to your computer.

Send your Census BC-300 in an electronic form right after you are done with filling it out. Your data is well-protected, because we keep to the most up-to-date security requirements. Become one of numerous happy users who are already submitting legal documents right from their apartments.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing survey questionnaire

Get everything required for filling in, adjusting and signing your Form in a single place. Our simple and quick video guidelines help you get from start to finish.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to 552a census form

  • form bc 300 certification
  • census 300 blank
  • information requester census
  • census record sought
  • census form bc300
  • census bc sample
  • census bc 300 certification
  • s census sought
  • census 300
  • cfr
  • foia
  • falsification
  • foregoing
  • enclose
  • Certification
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.