PRIVACY ACT WAIVER FORM

(explanation)

In accordance with the Privacy Act (PL 93-579) passed by Congress in 1974, U.S. Department of State personnel are not permitted to release any information not deemed to be in the public domain, regarding private individuals, without the express written consent of the concerned citizen(s).

It is therefore requested that you complete the attached authorization, specifying those persons and/or organizations the Office of Children’s Issues (CA/OCS/CI) may contact, and to whom the Office of Children’s Issues may release information regarding your case. Please return this form to the Consular Officer who is handling your case at:

Office of Children’s Issues
CA/OCS/CI, Room L127
2401 E Street, N.W. (SA-1)
U.S. Department of State
Washington, D.C. 20037

Download Chilren's Issues Privacy Act Waiver Form for use by the Office of Children’s Issues, Bureau of Consular affairs, U.S. Department of State.

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