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Complete both sides of this form and return it to me. In order to be in compliance with the Privacy Act of 1974, this form must be signed. If you are inquiring on behalf of someone, a family member or other individual, that individual must sign this form. Mr. Mrs. Ms. Dr. Full Name Address City ZIP Code Social Security Number Date of Birth Home Phone Work Phone Cell Phone Email Address I prefer to be contacted by: Home Phone Work Phone Cell Phone Email Federal Agencies Involved H.

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Filling out the - Mccollum House form is an important process for ensuring your privacy concerns are addressed. This guide provides a step-by-step approach to effectively complete the form online, making the experience straightforward for all users.

Follow the steps to fill out the - Mccollum House form online:

  1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
  2. Begin filling out the form by providing your full name in the designated field. Ensure that your name matches the identification documents you have.
  3. Next, enter your address, including the city and ZIP code, ensuring that all information is accurate for clear communication.
  4. Input your Social Security Number as required. This information is crucial for identification and privacy compliance.
  5. Fill in your date of birth to validate your identity, and then provide your home, work, and cell phone numbers for contact purposes.
  6. Complete the email address section and choose your preferred method of contact by selecting from the available options.
  7. Indicate whether you have contacted other Senate or Congressional offices regarding your issue by selecting ‘Yes’ or ‘No’. If yes, provide the names of those offices.
  8. Designate any individual(s) who may discuss your case on your behalf, if applicable, by entering their details in the designated area.
  9. Read and acknowledge the authorization statement by signing and dating the form to provide consent for your information to be accessed as needed.
  10. Proceed to the reverse side of the form to complete any additional sections that apply to your situation, including a detailed explanation of your request or problem.
  11. For specific issues, fill out relevant sections, such as Veteran's Affairs or Immigration, including necessary identifiers like case number or receipt number.
  12. Once all required fields are filled, review the form for accuracy, save your changes, and print or share the completed document as needed.

Complete your - Mccollum House form online today to ensure your needs are addressed promptly.

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Democratic Party Betty McCollum / Party

St. Paul Office | Congresswoman Betty McCollum.

Betty McCollum is a Democrat representing the families of Minnesota's Fourth District in the United States House of Representatives.

Betty Louise McCollum (/məˈkɒləm/ mə-KOL-əm; born July 12, 1954) is an American politician serving as the U.S. representative for Minnesota's 4th congressional district, serving since 2001. She is a member of the Democratic-Farmer-Labor Party (DFL).

Congresswoman Betty McCollum |Representing the 4th District of Minnesota.

Current members Current U.S. representatives from Minnesota DistrictMember (Residence)Incumbent since 1st Brad Finstad (New Ulm) August 12, 2022 2nd Angie Craig (Prior Lake) January 3, 2019 3rd Dean Phillips (Plymouth) January 3, 20195 more rows

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© Copyright 1997-2026
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
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
altaFlow
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232