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Leadership. Character. Commitment. |
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Under the provisions of the Privacy Act of 1974, a federal agency cannot release information concerning an individual unless that person has given his or her express, signed, written permission. Therefore, I will need your written signature on this waiver before I can intervene with a federal agency on your behalf. If you have a printer, print this form out, complete it, sign it, and mail or fax it to my Charleston office. If you do not have a printer, you may call to request a Privacy Act Release from to be mailed to you. Charleston Office If you need further information, please contact my office in Washington, D.C., at (202) 224-3954 or in Charleston at (304) 342-5855. Below are the most frequently requested toll-free telephone numbers related to problems about which West Virginians contact me:
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