U.S. Senator Jeanne Shaheen

language translations are acceptable to facilitate completion of the form in English. U.S. Department of State Place of Birth I hereby authorize the U.S. Consular Office of the United States of America and the U.S. Department of State to release information regarding me to the following individuals : SECTION A Rock Island 1823 2nd Ave., Suite 2 Rock Island, IL 61201 Phone (309) 606-7060 Fax (309) 786-1799 Directions To complete this process, click SUBMIT button below to generate form then please print and sign form by hand (no e-signatures will be accepted.) Submit signed forms to casework@feinstein.senate. gov , by fax (415)-393-0710, or by mail to: One of the most important jobs I have is helping my constituents when they are having problems with federal agencies. Although I am unable to guarantee a specific outcome, my role is to assure you a fair and thorough review of your case and to seek a timely response from the agency. Click here for a quick quide to help determine if my office can assist you in your case. Once you have The official website of U.S. Senator Kirsten Gillibrand. Proud to serve New York in the United States Senate. GENERAL PRIVACY RELEASE FORM . I hereby authorize Senator John Cornyn to request on my behalf, pertinent to the . Freedom of Information and Privacy Act of 1974 I, the undersigned, hereby authorize the release of all pertinent information to and by Congressman Scott or any authorized member of his staff to make an inquiry on my behalf. Signature: _____ Date: _____ Please print and return signed form by fax or mail to: Fax: (770) 210-5673

Privacy Release Form | Congressman Pete King

Please fill out the appropriate privacy release form and fax or mail a signed copy to my office. Because of the Constitution’s separation of powers, I cannot assist in judicial or court matters, such as child custody, divorce, pending litigation, criminal trials, or imprisonment. A true Texan at heart, Congressman Carter was born and raised in Houston and has spent his adult life in Central Texas. Carter attended Texas Tech University where he graduated with a degree in History and then graduated from the University of Texas Law School in 1969.Congressman Carter and his wife, Erika, met in Holland and have been happily married since June 15, 1968.

GENERAL PRIVACY RELEASE FORM . I hereby authorize Senator John Cornyn to request on my behalf, pertinent to the . Freedom of Information and Privacy Act of 1974

Office of Congresswoman Jackie Walorski Rev. 3/1/18 Have you contacted any other elected officials about this matter? If so, please specify: _____ Would you like to receive Congresswoman Walorski’s newsletter and … If you can't get an answer from a federal agency in a timely fashion, or if you feel you have been treated unfairly, my office may be able to help resolve a problem or get you the information you need. While we cannot guarantee you a favorable outcome, we will do our best to help you receive a fair and timely response to your problem. Residents of the 2nd Congressional District of New York can