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AUTHORIZATION FOR DISCLOSURE OF MEDICAL OR DENTAL INFORMATION PRIVACY ACT STATEMENT In accordance with the Privacy Act of 1974 (Public Law 93579), the notice informs you of the purpose of the form
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How to fill out fbi privacy act statement

01
To fill out the FBI Privacy Act Statement, follow these steps:
02
Start by downloading the FBI Privacy Act Statement form from the official FBI website.
03
Read the instructions and requirements mentioned on the form carefully.
04
Provide your personal information such as full name, date of birth, and physical address.
05
Indicate the purpose for which you are submitting the form.
06
Answer the questions regarding your social security number, citizenship status, and any previous contacts with the FBI.
07
Sign and date the form at the designated space.
08
Make a copy of the filled-out form for your records.
09
Submit the completed form to the appropriate FBI office or follow the instructions provided on the form for submission.
10
Wait for a response from the FBI regarding your Privacy Act request.

Who needs fbi privacy act statement?

01
Anyone who wants to request information about themselves or wants to update their personal records held by the FBI may need to fill out the FBI Privacy Act Statement. This form ensures compliance with the Privacy Act of 1974 and allows individuals to exercise their rights to access and correct their personal information held by the FBI.
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The FBI Privacy Act Statement is a legal notice that informs individuals how their information is collected, used, and protected by the FBI under the Privacy Act of 1974.
Anyone who interacts with the FBI, such as employees, contractors, and individuals under investigation, may be required to file an FBI Privacy Act Statement.
The FBI Privacy Act Statement can typically be filled out online through the FBI's official website or in person at an FBI field office. The form will require personal information and details about the individual's interactions with the FBI.
The purpose of the FBI Privacy Act Statement is to ensure transparency and accountability in the FBI's handling of individuals' personal information, as mandated by the Privacy Act of 1974.
The FBI Privacy Act Statement may require information such as name, address, contact details, social security number, and details of interactions with the FBI.
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