Download and Print Privacy Release Form
Please click on the DOWNLOAD button to review any information you have entered on this page. This will download a PDF of the Privacy Release Form containing all of the information you have entered.
Federal agencies are prohibited from releasing information concerning an individual to a third party under the Privacy Act of 1974, without explicit permission. This means that we cannot open an inquiry on your behalf until we receive your signed form. If you have difficulty printing the Privacy Release Form or are in need of assistance completing it, please call 410-962-4436.
Please print, sign, and date, then return the form in its entirety by fax, mail, or email.
U.S. Senator Ben Cardin
100 S. Charles Street
Tower 1, Suite 1710
Baltimore, MD 21201