Information For Citizens

Privacy Act Waiver

Requirements of Privacy Act of 1974 The provisions of the Privacy Act of 1974 were designed to protect the privacy and rights of the individual. As a general rule, consular officers may not reveal information regarding an individual American's location, welfare, intentions, or problems to anyone, including family members and Congressional representatives, without the express consent of that individual. For example, if an American citizen has not maintained contact with his family or friends while abroad, neither a consular officer nor officers in the Department of State may report back to the family or a Congressional office regarding the individual's welfare or whereabouts unless the individual gives written permission to do so.

You may copy the text below into a document for use as a Privacy Act Waiver:

Privacy Act Statement

The information requested on this form is solicited pursuant to Section 2658 of Title 22 of the United States Code, Section 71.1 of Title 22 of the Code of Federal Regulations, and Executive Order 11299 of August 5, 1966. The principal purpose for this information is to create official records of United States citizenship, which will enable consular and diplomatic officers to furnish promptly, and efficiently all services, which are the inherent right, and privilege of such citizenship.

Specific purposes for the collection of this information include: establishment of citizenship, establishment of entitlement to a U.S. passport, issuance of reports of birth to citizen's children born abroad, dissemination of information concerning nationality laws that might affect the nationality status of the registrant, establishment of entitlement to services consistent with United States citizenship in event of the registrant's death, and protection of and assistance to U.S. Citizens abroad particularly in emergency situations.

The information is made available on a need-to-know basis to personnel of the Department of State and as a routine use to other government agencies having statutory or other lawful authority to maintain such information in the performance of their official duties, and to wardens designated by consular officials at U.S. Embassies or other Foreign Service Posts.

Furnishing the information on this form is voluntary, but failure to do so may preclude or impair U.S. Government Officials or other designated representatives from providing the services described in the first paragraph of this statement.

PRIVACY ACT WAIVER

In accordance with the Privacy Act (PL 93-579) passed by Congress in 1974, the Consulate General cannot release any information regarding you that is not considered to be in the public domain to anyone without your written consent except as set forth in the Act. Therefore, it is requested that you complete the authorization below specifying whom the Consulate General may contact and releases information to with regard to your case. Please return the completed authorization to the Consular Officer or to the address given above.

AUTHORIZATION FOR THE RELEASE OF INFORMATION UNDER THE PRIVACY ACT I,_______________________________, do hereby authorize the Consulate General of the United States of America at Casablanca, Morocco, and the Department of State to release information regarding my__________________________________________ to the following:

A. NAMES AND ADDRESSES OF PERSON(S) YOU WISH THE CONSULATE TO CONTACT

___________________________________

(Name)

____________________________________

(Tel-Fax-E-mail)

____________________________________

____________________________________

____________________________________

(Address)

___________________________________

(Name)

____________________________________

(Tel-Fax-E-mail)

____________________________________

____________________________________

____________________________________

(Address)

___________________________________

(Name)

____________________________________

(Tel-Fax-E-mail)

____________________________________

____________________________________ ____________________________________ (Address)