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MA Seth Moulton Casework Authorization and Privacy Act Release Form 2015-2025 free printable template

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Casework Authorization and Privacy Act Release Form U.S. REPRESENTATIVE Seth Moulton SERVING THE 6TH CONGRESSIONAL DISTRICT OF MASSACHUSETTS Please Print NAME DATE HOME ADDRESS CITY MASSACHUSETTS
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How to fill out MA Seth Moulton Casework Authorization and Privacy

01
Begin by visiting the official webpage for MA Seth Moulton's Casework Authorization and Privacy form.
02
Download or open the form in a PDF viewer.
03
Fill out your personal information in the designated fields, including your full name, address, email, and phone number.
04
Provide details about the specific issue or case you need assistance with.
05
Include any relevant background information that may help in the casework process.
06
Sign and date the form to authorize release of information for your case.
07
Submit the completed form via the provided instructions, which may include mailing it or submitting it electronically.

Who needs MA Seth Moulton Casework Authorization and Privacy?

01
Individuals seeking assistance with federal casework issues, such as immigration, veterans' benefits, or Social Security.
02
Constituents of MA Seth Moulton who require help navigating government services or addressing problems with federal agencies.
03
Anyone who needs to designate Seth Moulton's office to act on their behalf in matters related to federal casework.
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People Also Ask about

Home | U.S. Congressman Seth Moulton.
Seth Wilbur Moulton (born October 24, 1978) is an American politician serving as the U.S. representative for Massachusetts's 6th congressional district since 2015. A former Marine Corps officer, he is a member of the Democratic Party.
Seth is a member of the House Armed Services Committee, the Transportation and Infrastructure Committee, and the House Select Committee on Strategic Competition between the U.S. and the Chinese Communist Party.
Massachusetts's 6th congressional districtRepresentativeSeth Moulton D–SalemArea480.31 sq mi (1,244.0 km2)Distribution63.15% urban 36.85% ruralPopulation (2021)780,1285 more rows
Current representatives 1st district: Richard Neal (D) (since 1989) 2nd district: Jim McGovern (D) (since 1997) 3rd district: Lori Trahan (D) (since 2019) 4th district: Jake Auchincloss (D) (since 2021) 5th district: Katherine Clark (D) (since 2013) 6th district: Seth Moulton (D) (since 2015)
Seth MoultonPreceded byJohn F. TierneyPersonal detailsBornSeth Wilbur Moulton October 24, 1978 Salem, Massachusetts, U.S.Political partyDemocratic20 more rows

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MA Seth Moulton Casework Authorization and Privacy is a form that authorizes Representative Seth Moulton's office to assist constituents with casework issues while ensuring the privacy of their personal information.
Any constituent seeking assistance from Representative Seth Moulton's office regarding a casework issue is required to file the MA Seth Moulton Casework Authorization and Privacy.
To fill out the form, constituents must provide their personal information, specify the issue they are facing, and sign the document to grant authorization for Seth Moulton's office to act on their behalf.
The purpose of the form is to facilitate the process of assisting constituents with various issues while maintaining their privacy and ensuring that their information is handled confidentially.
The form must include the constituent's name, contact information, details about the casework issue, and a signature granting permission for the office to assist.
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1960 1974 MASSACHUSETTS Moulton Payee 6TH CSA Casework divulging IRS pursuant INS Medicare Delegation provisions

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