Get Rep. Seth Moulton - Privacy Act Release Form 091615.docx - Moulton House

Filling out the Rep. Seth Moulton - Privacy Act Release Form is an essential step in seeking assistance with your case. This guide provides you with a clear and structured approach to complete the form accurately online.

Follow the steps to fill out the form with ease.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor. This will allow you to start filling out the required information without any hassle.
2. Begin by entering your full name in the designated field. Make sure to write clearly, as this is critical for identification purposes.
3. Next, fill in the date. This is the date when you are completing the form.
4. Provide your home address, ensuring that you include all parts of your address, such as city, state (Massachusetts), and ZIP code.
5. Input both your home and work phone numbers in the respective fields. This helps in reaching you for any necessary communication regarding your case.
6. Enter your email address for correspondence. Include your fax number if applicable.
7. Fill out your social security number and date of birth in the specified fields. This information is vital for processing your request.
8. Indicate whether you are working with any other member of the Massachusetts delegation by marking 'Yes' or 'No.' If Yes, specify which office.
9. List any other identification numbers relevant to your case, such as veteran case ID or IRS numbers.
10. Provide details about any agencies you have contacted regarding your issue, including dates and results of those communications.
11. Sign and date the form in the designated areas, ensuring that your signature aligns with the requirements of the Privacy Act.
12. Finally, review the entire form for accuracy. Once satisfied, save your changes, then download or print the form for submission.

Start filling out the Rep. Seth Moulton - Privacy Act Release Form today to effectively seek assistance with your case.