Privacy release form senator georgia 2025

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  1. Click ‘Get Form’ to open the privacy release form in the editor.
  2. Begin by typing or printing your preferred title (Mr., Ms., Mrs., Dr., etc.) and your full name in the designated fields.
  3. If applicable, enter your business name, followed by your complete address including city, state, and ZIP code.
  4. Fill in your home, work, and mobile phone numbers. If you have a fax number or email address, include those as well.
  5. Provide your Social Security Number and Date of Birth. Additionally, include any relevant identification numbers that may assist in identifying your records.
  6. Specify the Federal Agency or Department involved with your inquiry in the provided space.
  7. In the statement section, clearly describe the nature of your problem and any assistance needed from Senator Perdue's office. Attach any pertinent documents if necessary.
  8. Finally, sign and date the form to grant access to your records as required by the Privacy Act.

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This form may be used to provide consent and authorize the CFPB to disclose your records to another person or entity.
Form DS-5505, Authorization for Release of Information Under the Privacy Act, known colloquially as the Privacy Act Waiver, is the document to be used when seeking to obtain permission to release information on behalf of our citizens.
The Privacy Act of 1974 requires that Members of Congress and their staff have written authorization before they can obtain information about an individual's case.
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Under the provisions of the Privacy Act of 1974, I need to have formal authorization from you before making an inquiry to a federal agency on your behalf. This law was enacted to protect individuals from unauthorized disclosure of personal information without their consent.

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