Ds 5505 form: Fill out & sign online

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Click ‘Get Form’ to open the release privacy act form in our editor.
Begin by entering your full name in the designated field, ensuring you include your last name, first name, and middle initial.
Fill in your place of birth, including city, state/province, and country. Then provide your date of birth in the specified format (mm-dd-yyyy).
In Section A, list the individuals to whom you authorize the U.S. Consular Office to release information. For each person, include their full name, telephone number, address, and relationship to you.
Indicate whether you allow information to be released to other persons by selecting 'YES' or 'NO' for categories such as family and friends.
Review all entered information carefully before signing. Ensure that your signature is in black or blue ink and print your name below it.
Finally, enter the city and country where you are signing the form along with the date (mm-dd-yyyy).

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