Get Privacy Release Form The Privacy Act Of 1974 Requires Written Consent Before Information Can Be

Filling out the Privacy Release Form is an important step in ensuring that your information is handled in accordance with the Privacy Act of 1974. This guide will provide you with clear instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the Privacy Release Form. This will allow you to download and open the document for completion.
2. Provide your full name in the designated field. You can select Mr., Mrs., or Ms. as appropriate.
3. Enter your home phone number, followed by your cell phone number in the respective fields.
4. Fill in your address, city, zip code, and work phone number accurately.
5. Input your email address and date of birth. Ensure the email is correct to receive any communications.
6. If applicable, provide your Social Security number, A number for immigration cases, military service number, and case or claim number in the provided spaces.
7. Indicate whether you have contacted any other Senate or Congressional office regarding your issue by selecting 'Yes' or 'No'. If yes, please specify whom you contacted.
8. Fill in any additional comments if desired. This section is optional.
9. Read the authorization statement carefully, as it allows governmental agencies to disclose your information to Senator Patrick Leahy's office.
10. Sign and date the form in the provided spaces to formally authorize the release of your information.
11. Finally, save your changes and choose to either download, print, or share the completed form as required.

Complete your Privacy Release Form online today to ensure your information is handled properly.