Confidential information request: Fill out & sign online

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Click ‘Get Form’ to open the confidential information request in the editor.
Begin by entering your full name in the designated field. This is essential for identifying your records.
Provide your phone number, including the area code, to ensure that the department can contact you if needed.
Select the specific information you need by checking all applicable boxes. Options include UC Claimant Profile, UC Base Period Wages, and UC Payment History.
Indicate the purpose of your request in the provided space to clarify why you need this information.
Fill in your mailing address or fax number where you would like to receive the requested information.
Ensure that you sign the form in front of a Notary Public and have them complete their section, including their seal.
Finally, prepare a money order for $10 made payable to 'ADOL' and mail it along with your completed form to the specified address.

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Is a request for information confidential?

Federal agencies are required to disclose any information requested under the FOIA unless it falls under one of nine exemptions which protect interests such as personal privacy, national security, and law enforcement.

What qualifies as confidential information?

The key is to make a polite request while explaining why you want the information kept private. Avoid demanding or accusing language, and instead focus on your preference for confidentiality. Requesting their understanding and cooperation is often more effective than simply telling them not to share.

Can you submit a FOIA request anonymously?

Full names for the individuals and/or agencies included in your request, including proper spelling. POST ID(s) for the individual(s) included in your request if applicable, and/or current/former agency. Any additional information that helps staff identify the record(s) being requested.

How do I ask someone to keep information confidential?

The following information is confidential: Social Security number. Name. Personal financial information. Family information. Medical information. Credit card numbers, bank account numbers, amount / what donated. Telephone / fax numbers, e-mail, URLs.