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Get Dos Ds-5505 2015-2026

U.S. Department of StateCONSULAR OFFICES OF THE UNITED STATES OF AMERICAAUTHORIZATION FOR THE RELEASE OF INFORMATION UNDER THE PRIVACY ACT In accordance with the Privacy Act (PL 93579) passed by Congress.

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How to fill out the DoS DS-5505 online

The DoS DS-5505 is an important form for authorizing the release of information under the Privacy Act. It is essential to fill out this form correctly to ensure that the U.S. Consular Office can assist you efficiently.

Follow the steps to fill out the DoS DS-5505 online

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your full name, including your last name, first name, and middle initial in the designated fields.
  3. Provide your place of birth, detailing the city, state or province, and country where you were born.
  4. Fill in the 'Born At' field with the specific location of your birth.
  5. Indicate your date of birth in the format mm-dd-yyyy.
  6. In Section A, list the individuals to whom the U.S. Consular Office may release information regarding your case. Each entry requires their last name, first name, telephone number, address, and relationship to you.
  7. Consider whether you authorize the release of information to other persons not listed under Section A. Circle 'YES' or 'NO' for each category such as family, friends, members of Congress, media, general public, and employer.
  8. Review the form's content carefully before signing. Ensure all information is correct.
  9. Sign the application in black or blue ink and provide the city and country of your signature.
  10. Print your name beneath your signature and enter the date of signing in the format mm-dd-yyyy.
  11. Finally, save your changes, then download, print, or share the completed form as needed.

Complete your DoS DS-5505 online today to ensure efficient assistance from consular offices.

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Fillable Form DS-5505 AUTHORIZATION FOR RELEASE OF INFORMATION UNDER THE PRIVACY ACT.

Government Authorization means any consent, license, franchise registration, certification, certificate of public convenience, authorization or permit issued, granted, given or otherwise made available by or under the authority of any Government Entity or to any Legal Requirement.

This form may be used to provide consent and authorize the CFPB to disclose your records to another person or entity.

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