DA Form 7433. Privacy Act Information Release Statement

DA Form 7433 - Privacy Act Information Release Statement is used to obtain consent from individuals for releasing their personal information under the Privacy Act. This form ensures compliance with privacy regulations when sharing personal data with authorized parties.

The form consists of sections where individuals provide their personal information, specify the purpose for which the information will be released, and provide their consent. The form also informs individuals about their rights under the Privacy Act and the consequences of not providing consent.

Important fields in this form include the individual's personal information, the purpose of the information release, and their signature for consent. Accurate completion is essential to maintain legal compliance and protect individuals' privacy rights.

Application Example: An Army service member is required to release their medical records to a medical facility outside the military network for specialized treatment. The service member completes the form, specifying the purpose and providing consent. The form ensures that the medical records are shared appropriately while respecting the individual's privacy rights.