ReferencePrivacy Act Requests - United States Department of JusticePrivacy Release Form - Congressma 2026

1. Click ‘Get Form’ to open the Reference Privacy Act Requests form in the editor.
2. Begin by filling in your personal information. Start with the prefix, first name, middle name, last name, and suffix. Ensure accuracy as this information is crucial for identification.
3. Next, provide your date and place of birth, along with your work phone number, cell number, and email address. This helps in establishing communication regarding your request.
4. Fill in your complete address including city, state, and zip code. This ensures that any correspondence reaches you without delay.
5. If applicable, include your Social Security number and any relevant identification numbers such as Medicare or VA numbers. Note that these are not required for USCIS inquiries.
6. In the designated section, briefly describe your issue and how you would like Senator Scott to assist you. This is a required field; be concise yet informative.
7. Finally, sign and date the form. Remember that only individuals aged 18 or older can sign this document. Third-party signatures are not valid.

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