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In order to better serve you, please print this page, provide your signature and mail it to one of my district offices.
Please include all pertinent information and claim numbers in your correspondenceāsuch as:
Please Note: The Privacy Act of 1974 ( 5 U.S.C. Ā§ 552a ) requires that Members of Congress or their staff have written authorization before they can obtain information about an individual's case. We must have your signature to proceed with this type of request. Thank you for your understanding and we look forward to swiftly resolving your issue.
I am aware that the Privacy Act of 1974 prohibits the release of information in my file without my approval. I hereby authorize Congressman Paul D. Tonko or his representative to inquire with the following agency on my behalf:
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Please note: By federal law (18 USC, Sec. 205), neither Congressman Tonko nor his staff can involve themselves in private legal matters or represent constituents in judicial proceedings.