Kentucky Residents Only

The Privacy Act of 1974 requires congressional offices to obtain written permission from an individual before a federal government agency can release information to a U.S. Senate Office. Please complete the below Privacy Release form describing your problem, the federal agency involved and any other pertinent information related to your situation. If you need the Privacy Release form mailed to you or if you have any questions about the form, please contact my State Office at 270-782-8303.

Mail your completed and signed Privacy Release form to my State Office in Bowling Green by mail at:
U.S. Senator Rand Paul
1029 State Street
Bowling Green, KY 42101

If a request for assistance/Privacy Release form is sent to my Washington, DC office, the response time may be delayed as that request must be forwarded to my State Office. For timely assistance with your request, please forward your Privacy Release form directly to my State Office in Bowling Green.

Click "Generate Request" to print this form.

Privacy Act Release Form

Due to the provisions of the Privacy Act of 1974, permission in writing is required before making an inquiry on your behalf. Completing and signing this form authorizes U.S. Senator Rand Paul and those acting on his behalf to make inquiries to the appropriate federal agency on your behalf.

Your Information
If applicable to your request for assistance, please provide the following information:
Request Details

Provide a brief explanation of your problem or request with the below agency.

Also specify how my office may be of assistance. Continue on another sheet if necessary.

Send photocopies only of documents that support your request.It is important for you to retain the originals for your files.

Print This Form

Use the Generate Request button to produce the document to authorize my office to help you. Then sign it and mail it to the address shown on the document. Please include any other documents or materials that you think would help my office help you.

Click "Generate Request" to print this form.