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DHS Form 590, Authorization to Release Information to Another Person Mobile App

The DHS Form 590 Authorization to Release Information to Another Person mobile app is an electronic version of the Department of Homeland Security Information release form. Used by DHS or a designated DHS officer, the electronic form gives appropriate parties the authorization to disclose your personal information to other offices. This includes your social security number, driver license number, emergency management contact details and other important details.

Submitting this form electronically to the correct federal agency makes it easier to process requests. The Department of Homeland Security Information Release form is easily accessible from any smartphone or tablet, and the results can be emailed directly to the homeland security committee, justice department, border security offices or other federal government departments. The electronic form was designed for those seeking immigration bonds, asylum seekers, support from the federal emergency management agency and other important matters typically handled by the homeland security committee.

For a similar mobile app from the Department of Homeland Security, check out the mobile app version of the DHS Form 590 - Authorization to Release Information to Another Person.

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Take a peek inside the DHS Form 590, Authorization to Release Information to Another Person Mobile App

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Included Fields

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    AUTHORIZATION TO RELEASE INFORMATION TO ANOTHER PERSON

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    Please complete this form to authorize the Department of Homeland Security (DHS) or its designate...

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    SECTION I.

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    Name

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    Address

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    City

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    State

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    Zip Code

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    Country

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    Telephone Number(s)

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    Date of Birth

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    Place of Birth (city, state, country)

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    SECTION II.

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    Name

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    Address

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    City

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    State

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    Zip Code

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    Country

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    Telephone Number(s)

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    Pursuant to the Privacy Act of 1974 (5 U.

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    Pursuant to 28 U.

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    Signature

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    Date

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    AUTHORITY: Title IV of the Intelligence Reform and Terrorism Prevention Act of 2004 authorizes DH...

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    PRINCIPAL PURPOSE(S): DHS will use this information in order to assist you with seeking redress i...

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    ROUTINE USE(S): DHS will use and disclose this information to appropriate governmental agencies t...

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    DISCLOSURE: Furnishing this information is voluntary; however DHS may not be able to process your...

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