Rep. Seth Moulton - Privacy Act Release form 091615.docx - moulton house 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your name and date at the top of the form. Ensure that all personal information is accurate.
  3. Provide your home address, including city and ZIP code, followed by your home and work phone numbers.
  4. Enter your email address and any relevant identification numbers, such as Social Security Number or Veteran Case ID.
  5. Indicate if you are working with another Massachusetts Delegation member and provide details if applicable.
  6. In the section regarding agencies contacted, list any relevant agencies along with dates and results of inquiries.
  7. Sign and date the authorization section, allowing Representative Seth Moulton to act on your behalf.
  8. Finally, return the completed form to the specified office address within 30 days for processing.

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The cities of: Amesbury, Beverly, Gloucester, Lynn, Newburyport, Peabody, and Salem.
Jake Auchincloss | Congress.gov | Library of Congress.
Seth Wilbur Moulton (born October 24, 1978) is an American politician and former Marine Corps officer who has been the U.S. representative for Massachusettss 6th congressional district since 2015.
Salem, Massachusetts, U.S. After graduating from Harvard College in 2001 with a Bachelor of Science in physics, Moulton joined the United States Marine Corps. He served four tours in Iraq and then earned his masters degrees in business and public administration in a dual program at Harvard.
Unspecified Protestants (88; 24 Democrats, 64 Republicans) RepresentativePartyReligion Clay Higgins Republican Unspecified Protestant Glenn Ivey Democratic Katherine Clark Democratic Seth Moulton Democratic84 more rows

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