The U.S. Department of State represents and protects American interests around the world. The agency issues passports and assists Americans with travel abroad. Its website provides information regarding passport requirements, travel safety announcements and explains entry requirements and services available to Americans living or traveling abroad.
If you are experiencing an issue with a federal government agency, please complete, print, and sign the Privacy Act waiver. You may fax or mail the completed form with any supporting documentation to my office location that serves your area.
If you have any questions, please call my Washington, D.C. office at 202-224-6253.
- General Privacy Release Form - Use this form for all agencies other than the United States Citizenship and Immigration Services (USCIS) or the Internal Revenue Service (IRS). Privacy-Release-Form.pdf (7.1 KBs)