CA Congressman Jim Costa Privacy Release Form 2022-2025 free printable template
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CONGRESSMAN JIM COSTA
16th Congressional DistrictPRIVACY RELEASE FORM
Name:___ Please circle one: Mr. Mrs. Ms. Miss
Address:___City:___Zip:___
Home Phone:___ Cell: ___ Email: ___
Date of Birth: ___Social
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How to fill out CA Congressman Jim Costa Privacy Release Form
01
Obtain the CA Congressman Jim Costa Privacy Release Form from the official website or office.
02
Fill in your personal information at the top of the form, including your name, address, phone number, and email.
03
Specify the purpose of the release, such as assistance with a particular issue or inquiry.
04
Sign and date the form to authorize the release of your information.
05
Submit the completed form to Congressman Jim Costa's office either in person, by mail, or via fax.
Who needs CA Congressman Jim Costa Privacy Release Form?
01
Individuals seeking assistance from Congressman Jim Costa's office regarding personal matters or issues requiring privacy release.
02
People needing help with federal agencies or other entities who require consent to share your personal information.
03
Constituents wanting to ensure their privacy information is handled appropriately while seeking congressional support.
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What is CA Congressman Jim Costa Privacy Release Form?
The CA Congressman Jim Costa Privacy Release Form is a document that allows constituents to authorize the release of their personal information to the office of Congressman Jim Costa for assistance with federal agencies or matters.
Who is required to file CA Congressman Jim Costa Privacy Release Form?
Individuals who seek assistance from Congressman Jim Costa's office and need to disclose their personal information for the purpose of addressing their concerns with federal agencies are required to file this form.
How to fill out CA Congressman Jim Costa Privacy Release Form?
To fill out the form, individuals must provide their personal information such as name, address, phone number, and any relevant details concerning the federal agency or issue they require assistance with. They must also sign and date the form.
What is the purpose of CA Congressman Jim Costa Privacy Release Form?
The purpose of the form is to ensure that constituents give their consent for Congressman Costa's office to access and discuss their personal information when seeking help with federal matters.
What information must be reported on CA Congressman Jim Costa Privacy Release Form?
The form requires individuals to report their full name, contact information, details of the federal agency or issue involved, and a signature to authorize the release of their information.
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