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Contact Us Form

AUTHORITIES: The information on this form is requested under the authority of 5 U.S.C. 301, 22 U.S.C. 2651(a), 22 U.S.C. 1431, 22 CFR 2451 and Executive Order 13571.

PURPOSE: The purpose of this form is to provide U.S. citizens with the ability to submit general inquiries to the Department of State unrelated to passports, overseas citizen services, visas, adoptions, emergency assistance or the resource topics provided within the form.

ROUTINE USES: The information on this form will be used to forward the inquiry to the appropriate Department program office. This information will not be shared outside of the Department of State. More information on the Routine Uses for the system can be found in System of Records Notice, State-22, Records of the Bureau of Public Affairs.

DISCLOSURE: Providing this information is voluntary . Failure to provide the information requested on this form may result in the inquiry being unanswered.