Privacy Act Data
Cover Sheet
To be used on
all documents
containing personal
information
DOCUMENTS ENCLOSED ARE SUBJECT
TO THE PRIVACY ACT OF 1974
Contents shall not be disclosed, discussed, or shared with
individuals unless they have a direct need-to-know in the
performance of their official duties. Deliver this/these
document(s) directly to the intended recipient. DO NOT
drop off with a third-party.
The enclosed document(s) may contain personal or privileged information and should be treated
CIVIL
as “For Official Use Only.” Unauthorized disclosure of this information may result in
and
CRIMINAL
penalties. If you are not the intended recipient or believe that you have received this
document(s) in error, do not copy, disseminate or otherwise use the information and contact
the owner/creator or your Privacy Act officer regarding the document(s).
Privacy Act Data Cover Sheet
DD FORM 2923, SEP 2010
Privacy Act Data
Cover Sheet
To be used on
all documents
containing personal
information
DOCUMENTS ENCLOSED ARE SUBJECT
TO THE PRIVACY ACT OF 1974
Contents shall not be disclosed, discussed, or shared with
individuals unless they have a direct need-to-know in the
performance of their official duties. Deliver this/these
document(s) directly to the intended recipient. DO NOT
drop off with a third-party.
The enclosed document(s) may contain personal or privileged information and should be treated
CIVIL
as “For Official Use Only.” Unauthorized disclosure of this information may result in
and
CRIMINAL
penalties. If you are not the intended recipient or believe that you have received this
document(s) in error, do not copy, disseminate or otherwise use the information and contact
the owner/creator or your Privacy Act officer regarding the document(s).
Privacy Act Data Cover Sheet
DD FORM 2923, SEP 2010
