PRIVACY RELEASE and CONSTITUENT INFORMATION FORM

My office is happy to help in your interactions with agencies and offices of the federal government. Casework is available to all Marylanders and covers a variety of issues. My office inquires about pending cases from passport applications to social security and veterans’ benefits. While my office cannot file, adjudicate, or appeal your case, we will work to ensure the federal government is responsive to your concerns.

 

Due to the Constitution's separation of powers, and Senate ethics rules, I am not permitted to assist in judicial or court matters, including child custody/support, divorce, criminal trials, lawsuits or imprisonment.

 

***

The Privacy Act of 1974, Title 5, U.S. Code Section 552a, provides that as of September 27, 1975, disclosure of information of a personal or confidential nature of an individual will no longer be released to third parties without written consent of the individual concerned. Therefore, I hereby grant Senator Chris Van Hollen and his staff my written permission to intercede on my behalf. I also duly authorize that any information that is contained in my records and necessary to provide a substantive response may be disclosed to the Office of Senator Van Hollen.


It seems you may have an older version of this form cached.

Please go here to submit a request for help.
You must submit your signature above. After clicking "Submit,” you will be directed to confirm the information you provided is correct. You must click “Submit" again on the next page to finalize submission of your privacy release.