I hereby authorize Senator Josh Hawley or his staff, under the “Right to Privacy Act,” to request and copy any information regarding this matter from identified agencies. I hereby release you from any liability that may arise by furnishing the requested information. I certify, under penalty of perjury, that 1) I provided or authorized all of the information in this privacy release and any document submitted with it; 2) I reviewed and understand all of the information contained in my privacy release and submitted with it; and 3) all of this information is complete, true and correct.
Authorized Representative
Veterans & Military Coalition of the Ozarks, 1440 State Hwy 248, Suite Q-243, Branson, MO 65616; 417-676-0196
Signature (esignature or physical handwritten signature) Date