If you wish to make a Privacy Act request for personal information about yourself, requests may be submitted using the Declaration of Identity for Privacy Act Requests form.

If you are unable to print the above form, or you choose not to use it, you will need to submit a written request that includes the following information:

• Name, (first, middle, last and any additional names used) address, date of birth, social security number, employee identification number (if any), and your signature
• The type of record(s) being requested
• Any other information which you believe would help DOE to search and locate records, for example, dates of employment, names of the agency and/or company you worked for, etc.
• A photocopy of two identifying documents bearing your name and signature, one of which shall bear your current home or business address and date of birth
• A certification of identity. When you request access to records about yourself, you must verify your identity to protect the unauthorized disclosure of personal records. Your request must be signed and your signature must either be notarized or submitted by you under 28 USC 1746, a law that permits statements to be made under penalty of perjury as a substitute for notarization. The following information is required in your request: your full name, an acknowledgement that you understand the criminal penalty in the Privacy Act for requesting or obtaining access to records under false pretenses (5 USC 552a(I)(3)), and a declaration that your statement is true and correct under penalty of perjury (18 USC 1001).