Privacy Act Statement
If you request information about yourself under the Privacy Act, you will be asked to provide either a notarized statement or a statement signed under penalty of perjury stating that you are the person who you claim to be and that you understand that the knowing and willful request for or acquisition of a record pertaining to an individual under false pretenses is a criminal offense under the Privacy Act subject to a $5,000 fine.
You may fulfill this requirement by:
Including the following statements in your request letter and having your signature witnessed by a notary, or;
Including the following statements before the signature on your request letter:
"I declare under penalty of perjury that the foregoing is true and correct. Executed on [date]."