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Privacy Act Release Form Name: Address: City/State/Zip Code: Phone (home): Phone (work): Phone (cell): Email address (if available): Social Security Number: Date of Birth: Please specify if this matter
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The Privacy Act Release Form is a document that authorizes the release of an individual's confidential information to specified parties.
Anyone who wishes to authorize the release of their confidential information must file a Privacy Act Release Form.
To fill out a Privacy Act Release Form, the individual must provide their personal information, specify the information to be released, and identify the parties authorized to receive the information.
The purpose of a Privacy Act Release Form is to protect the privacy of individuals while allowing authorized parties to access their confidential information.
The Privacy Act Release Form must include the individual's personal information, the specific information to be released, and the parties authorized to receive the information.
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