SSN Policy Manual

Policy Manual

Notice to Withhold Disclosue of SSN Use this form anytime you need to advise someone that it is you legally protected right to withhold disclosure of a social security number and that they are prohibited by from denying you any rights, privileges or service. SSN Form Citizen's Assertion of Legal Right to withhold disclosure of SSN

b Public Law--93579 lSection 71

Name and address of Citizen

Name and address of No&

Recipitnt

I

Citizen's statement.

I certify that the forgoing information stated here is true and correct, Citizen's signature

Legal Notice and Warning Federal law provides that it is a crime to violate the Rights of a citizen under the color-of-law. You can be arrested for this crime and can also be held personally liable for civil damages. b Federal Law, Section 7 of Public Law 93-579 provides that: "It shall be unlawful for any Federal, State or local government agency to deny to any individualany right, benefit, or privilege provided by law because of such individual's refusal to disclose his social security account number." Federal courts have ruled the Privacy Act applies equally to the private sector. Date b Warning, you are in violationof Federal Law and persistingwith your demand may lead to your arrest andlor civil damages! The law provides that you can be held personally responsible and liable, as well as your company or agency. There is no law requiring an individual to obtain or use a social security number. Your requirement andlor demand that I providea social security number to you is a violation of one or more of the following laws: 4 CFR 83.9; 5 USC Sec. 552a; 7 CFR 1.123; 7 USC Sec. 22049; 14 CFR 1212.604;17 CFR 249.501a; 19 CFR 118.11; 19 CFR 122.25; 19 CFR24.5; 24 CFR 5.212; 28 CFR 16.53;28 CFR 513.31; 28 CFR 700.25; 29 CFR 7Oa.10;29 CFR 71 .I 2; 31 CFR 1.32; 31 CFR 501.806; 32 CFR 270.19; 32 CFR 310.20; 32 CFR 311.5;32 CFR 316.6; 32 CFR 317.20; 32 CFR 323.5; 32 CFR 505.2; 32 CFR 701.108; 32 CFR 806b.9; 38 CFR 1.575; 38 CFR 3.216; 38 USC Sec. 5101; 39 CFR 266.4; 45 CFR Part 801; 47 CFR 0.554; 49 CFR 10.29. You are advised to cease and desist with your demand and to seek personal legal counsel if you do not understandthe law. at 42 USC Sec. 408 provides that: Woever ... (8) discloses, uses, or compels the disclosure of the social security number of any person in wdabn of Ae bws ofthe United States; shall beguiltyofa felony and upon conviction thereof shall be f i n d under title 18 or imprisoned for not more than five years, or both.' 18 USC 9242 and 42 USC 91983 provides that: Moever, under color of any law, statute. ordinance. regulation. or custom, willfully subjects any person in any State. Territory,or District to the deprivation of any rights,privileges, or immunities secured or protected by the Consl&Jtion w hws ofthe United States. ... shall be fined under this title or imprisoned not more than one year. or both;' 42 USC 91983 further pmvidesthata Wta "shal be liable to the party injured in an action at hw, suit in equity, or other proper proceedingfor redress." Notice of Service: 1, and address on certify that I personally delivered this notice to above named recipient