Ds 4240-2026

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The document is a certification form from the U.S. Department of State used to request personal records under the Privacy Act and Freedom of Information Act. It requires the requester's personal information, authorization for third-party release, and includes a privacy statement outlining the purpose and use of the information provided.

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Click ‘Get Form’ to open the ds 4240 in the editor.
Begin by entering your full name in the 'Full Name of Requester' field, ensuring you include your last name, first name, and middle initial.
Next, input your date of birth in the format mm-dd-yyyy to verify your identity.
Fill in the 'Full Name of Subject of Records' section with the name of the individual whose records you are requesting.
Indicate your citizenship status by selecting the appropriate option provided on the form.
Provide your current address accurately to ensure proper communication regarding your request.
Complete the 'Third Party Authorization' section if applicable, including details about the third party and their relationship to you.
Finally, sign and date the form at the bottom to certify that all information is true and correct before submitting it.

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Versions	Form popularity	Fillable & printable
2013	4.9 Satisfied (335 Votes)

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How long does it take to get a response to a FOIA request?

How Long Will It Take to Answer My FOIA Request? Under the statute, federal agencies are required to respond to a FOIA request within twenty working days, excluding Saturdays, Sundays, and legal holidays.

What is the DS 4240 form?

You may also mail, email or fax to the Department of State a completed Request for Individual Access to Records Protected under the Privacy Act (DS-4240-R) form even if you are not a U.S. citizen or lawful permanent resident. Requesting someone elses personal records (third party authorization)

How do I get a US freedom of information request?

If the information you want is not publicly available, you can submit a FOIA request to the agencys FOIA Office. The request simply must be in writing and reasonably describe the records you seek. Most federal agencies now accept FOIA requests electronically, including by web form, e-mail or fax.

What is required for a FOIA request?

Requests must be in writing and the records you are seeking must be reasonably described. It is helpful to include specific information that may assist in identifying the requested records, such as the date, title or name, author, recipient, subject matter of the record.