John Thune, U.S. Senator South Dakota John Thune, U.S. Senator South Dakota
John Thune, U.S. Senator South Dakota
Home Page Text Only Site Map January 03, 2009
Constituent Casework    Constituent Services
Step Two of Three
PRIVACY ACT CONSENT

Before Senator Thune can make inquiries on your behalf, many federal agencies require that you send us a signed copy of the Privacy Act Waiver. Please fill out the information below, then manually fill out the Social Security number and signature fields before mailing or faxing to Senator Thune's office.

As required by Public Law 93-579, the Privacy Act, I hereby request and authorize Senator Thune to intercede on my behalf, including the right to review all appropriated documentation that he or his staff deems necessary in connection with the application for assistance or any other action I have pending with the agency named below. I understand that any documents I provide to Senator Thune or his staff may be copied and forwarded to officials of the agency listed below for review. I understand that all Federal agencies are allowed a minimum of 30 days to respond to congressional inquiries.

Please note: this form is for printing only; this information will not be tranferred by email or into a database.
Full Name:
Email Address:
Address 1:
Address 2:
City:    
Zip Code:    
Telephone:
County:    
Date of Birth:    
Federal Agency Involved:
Veteran's Claim Number:    
Military Branch of Service:
Rank:    
Alien Registration Number:    
If you are requesting assistance on behalf of a family member, please provide that person's name.
Family Member Name:
If you have contacted another congressional office regarding this issue, please list the office.
Other Office:
Detailed Description of Problem:



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Washington Office
Senator John Thune
United States Senate SR-493
Washington, DC 20510
Phone: (202) 224-2321
Fax: (202) 228-5429
TollFree: 1-866-850-3855
Sioux Falls Office
320 North Main Avenue
Suite B
Sioux Falls, SD 57104
Phone: (605) 334-9596
Rapid City Office
1313 West Main Street
Rapid City, SD 57701
Phone: (605) 348-7551
Aberdeen Office
320 South 1st Street
Suite 101
Aberdeen, SD 57401
Phone: (605) 225-8823