What information will I need to include in the Privacy Act Consent Form?
Most importantly, you will need to sign the form. Please remember to include any identifying information that is needed such as a social security number, date of birth, alien number, military rank and unit, VA claim number or agency application number. Please also include a brief explanation of the problem you are having and specify the federal agency with which you are experiencing the problem. Also, please note how you would like my office to assist you. Federal agencies require that all information be written in English.