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DS-4042. CERTIFICATION OF IDENTITY - foia state

DS-4042. CERTIFICATION OF IDENTITY - foia state-2025

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The document is a certification form from the U.S. Department of State used to request personal records under the Privacy Act and Freedom of Information Act. It requires the requester's personal information, including their name, date of birth, citizenship status, and current address. Additionally, it includes a section for third-party authorization to release records to another individual. The form emphasizes the legal implications of providing false information and outlines the purpose and routine uses of the collected data.

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Click ‘Get Form’ to open the DS-4042 in the editor.
Begin by entering your full name in the designated field (Last, First, MI). This is crucial for identifying your request.
Next, input your date of birth in the format mm-dd-yyyy. Accurate information here helps verify your identity.
Fill in the full name of the subject of records. This should match exactly as it appears on official documents.
Indicate your citizenship status by selecting the appropriate option provided in the form.
Provide your current address to ensure that any correspondence reaches you without delay.
Enter your place of birth, which is necessary for further identification verification.
If applicable, complete the Third Party Authorization section to allow another individual access to your records.
Finally, sign and date the form at the bottom to certify that all information provided is true and correct.

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What is the verification of identity for FOIA request?

A statement of identity by the subject of the record, consisting of their full name, current address, and date and place of birth, signed under penalty of perjury, or docHubd; and. A third-party release statement by the subject of the record giving you permission to seek their personal records.

Does FOIA apply to states?

0:00 0:29 And one of which is to be certified. By an official authorized to do so in your country. ForMoreAnd one of which is to be certified. By an official authorized to do so in your country. For everything you need to know about this process click the hyperlink.