FBU Inquiry Form

Name & Surname:

Street Address:

Phone Numbers

Daytime Phone:

Evening Phone:

Mobile/Cell:

Email:

Social Security Number:

(Last 4 Digits)

Date of birth:

(optional, see below about email privacy)

Issue:

The information you provide is used solely by the Federal Benefits Unit of the U.S. Embassy in Dublin. In order to process certain types of requests, we may have to ask for your Social Security Number (SSN) or the last 4-digits thereof, your date of birth, or your banking information. You may decline to provide such information, but that could inhibit our ability to answer your questions or assist you with your request. Any information provided on our web form is not retained and is used only in order to process your current request or answer your current questions. The Dublin FBU Office works in accordance with SSA procedures as well as the Paperwork Reduction Act (44 U.S.C. 3501 et seq.) and the Privacy Act of 1974. You can read our full privacy statement at http://www.socialsecurity.gov/info/isba/privacyact.htm.

Emails and Privacy:

Email is not secure and any information you provide on this online enquiry form cannot be guaranteed safe from potential loss. If you choose to send us any Personally Identifiable Information in your email enquiry, it will be removed from the email before we send our reply.

U.S. Mission Ireland

Phone Numbers

U.S. Mission Ireland