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Printable Privacy Release Forms

Please see below to select the appropriate printable release form. These forms must be printed and signed. They can be sent in via fax, mail or email.

FOR IMMIGRATION CASES: If you are requesting assistance from our office regarding an immigration issue, please click here to download a PDF version of the immigration-specific Privacy Release Form.

FOR SOCIAL SECURITY CASES: If you are requesting assistance from our office regarding a social security issue, please click here to download a PDF version of the Social Security-specific Privacy Release Form.

FOR ALL OTHER CASES: If you are requesting assistance from our office regarding all other issue, please click here to download a PDF version of the general Privacy Release Form.

After completing and signing the appropriate form, you must print, sign and mail it to the District Office at ATTN: Constituent Services, 9701 Apollo Drive, Suite 103, Largo, MD 20774. You may also fax it to the number found at the bottom of the form.

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