FOIA Online Request-ForMyself_ScreenMockups_OMB_052722

In response to public comment and to more
closely match the proposed form, we will
change this phrasing to "About Someone
Else". This matches our phrasing on Form
G-639.

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Request For Myself
Step 2 of 4 - Family Information for Subject of Record

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Parents' Names
What is your father's name? - required

Family name (last name) *

Given name (first name) *

Middle name (if applicable)

Given name (first name) *

Middle name (if applicable)

My father's name is unknown

What is your mother's name? - required

Family name (last name) *

My mother's name is unknown

Information About Family Members that May Appear on Requested Records
For example, provide the requested information about a spouse or children.

Family name (last name)

Given name (first name)

Middle name (if applicable)

Relationship

Content added in response to a 30-Day
public comment.

Add Name

Avoiding Redaction of Records Mentioning Additional Persons

To protect the privacy of each person mentioned in records we release, we redact their information unless you provide:
• Their consent for us to release their information, either in a notarized document, or a document signed under penalty of perjury, or
• Proof they are deceased, with a death certificate, obituary, photograph of a funeral memorial or monument; or screen print from the Social Security Death Index;
or probate documents filed in court. This is not required if they were born more than 100 years before you submit this form.
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