Privacy Release Form
The Privacy Act of 1974 requires written consent from the constituent before information can be obtained from a government agency's records. To better serve you, please complete this form entirely. If you are enquiring on behalf of someone else, that person must sign this form. Please be advised that all information you provide on this form will be held in the strictest confidence by my office and will not be used for any purpose other than your case.
The New Hampshire State Government website may have helpful information if you're addressing a state-level issue.
If you have questions or concerns, please feel free to contact one of my Manchester office.
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Attach any short letters and/or copies of any relevant documents or notices here. Allowed file types include .doc, .docx, .jpg, .pdf, .png, or .txt. Total file size limit is 15MB.
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