Get Ga Congressman Hank Johnson Privacy Release Form 2013

Filling out the GA Congressman Hank Johnson Privacy Release Form is a straightforward process that allows you to authorize the release of your personal information for assistance. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the Privacy Release Form

1. Press the ‘Get Form’ button to access the Privacy Release Form. This will enable you to open the document in the online editor for completion.
2. Begin by entering your name, and select your gender by checking the appropriate box (M or F). Next, input your date of birth to verify your identity.
3. Provide your complete address, including your city, state, and zip code. This information is crucial for Congressman Johnson's office to reach you.
4. Enter your contact numbers: home phone, cell phone, and business phone. Ensure these numbers are accurate to facilitate communication.
5. Input your email address if you wish to subscribe to Congressman Johnson's e-newsletter. Select 'Yes' or 'No' to indicate your preference.
6. Indicate whether you currently have an attorney or veteran service representative assisting you by checking 'Yes' or 'No.' If 'Yes,' provide their name and phone number.
7. Complete any applicable identifying information, including your Social Security number, Alien number, Veterans Claim number, branch of service, and case or claim number, if relevant.
8. Include details about your lender and account number, as well as the agency involved in your request. These elements will support your inquiry.
9. Indicate when you last received correspondence from the agency, which can help streamline your case.
10. Clearly describe the assistance you are requesting in the space provided. You may attach further documentation if necessary.
11. Review the statement regarding the Privacy Act of 1974, which ensures your personal information remains confidential.
12. Sign the form to authorize the release of your information, and print your name where required.
13. Lastly, save your changes, then download or print the completed form. Be sure to return the signed form to the address provided.

Take the next step in securing assistance by completing and submitting the GA Congressman Hank Johnson Privacy Release Form online.