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<td colspan="13">OMB No. 3095-0038 Expires XX/XX/XXXX</td>
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<td colspan="3"><h2 id="court-order-requirements">COURT ORDER
REQUIREMENTS</h2></td>
<td colspan="10">OBTAINING FEDERAL PERSONNEL AND MEDICAL RECORDS
(MILITARY OR CIVILIAN) PURSUANT TO COURT ORDER OR SUBPOENA</td>
</tr>
<tr class="odd">
<td colspan="5">NAME OF SUBJECT OF RECORD</td>
<td colspan="4">SSAN/SN</td>
<td colspan="4">DATE OF INQUIRY</td>
</tr>
<tr class="even">
<td colspan="5">     </td>
<td colspan="4">     </td>
<td colspan="4">     </td>
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<tr class="odd">
<td></td>
<td colspan="12">Your subpoena is being returned without action because
it does not meet all the requirements outlined below.</td>
</tr>
<tr class="even">
<td colspan="13"><p>Access to military or civilian personnel and medical
records on file at the National Personnel Records Center, St. Louis,
Missouri, may be gained pursuant "to the order of a court of competent
jurisdiction." Valid court orders should be addressed to this Center.
Subpoenas qualify as orders of a court of competent jurisdiction only if
they have been signed by a judge. To be valid, court orders must also be
signed by a judge. Authority for these requirements is 5 U.S.C.
552a(b)(11), as interpreted by <u>Doe</u> vs. <u>DiGenova</u>, 779 F. 2d
74 (D.C. Cir. 1985), and <u>Stiles</u> vs. <u>Atlanta Gas and Light
Company</u>, 453 F. Supp. 798 (N.D. Ga. 1978).</p>
<p>Please furnish the address of the clerk of the court so that
photocopies may be furnished in the form of a certificate under seal to
the clerk of the court issuing the order. Or, the photocopies may be
sent to a recipient other than the clerk of the court as long as the
order of the court names another recipient and gives the appropriate
address. Under applicable Federal law, photocopies so certified shall be
admitted into evidence as original records 44 U.S.C. Sec. 2116(b). It is
also helpful to furnish the names and addresses of attorneys
involved.</p>
<p>The court order must describe the records and information desired in
sufficient detail to identify them with accuracy. A minimum of detail
would include as many of the following as possible: the complete name,
service number, social security number, date of birth, branch of service
or Federal agency by which employed, and dates of military service
(active, reserve, or retired) or of Federal employment. If clinical
treatment records are needed, include also the dates, places, and
type(s) of treatment given.</p>
<p>The court order should be addressed and sent by mail to either of the
following addresses, as appropriate:</p></td>
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<td colspan="4"><blockquote>
<p>Director</p>
<p>National Personnel Records Center, NARA</p>
<p>(Military Personnel Records)</p>
<p>9700 Page Avenue</p>
<p>St. Louis, MO 63132-5100</p>
</blockquote></td>
<td colspan="9"><blockquote>
<p>Director</p>
<p>National Personnel Records Center, NARA</p>
<p>(Civilian Personnel Records)</p>
<p>111 Winnebago Street</p>
<p>St. Louis, MO 63118-4199</p>
</blockquote></td>
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<td></td>
<td colspan="12">As an alternative to obtaining a court order, you may
obtain certified copies of military or civilian personnel and medical
records by providing the signed and dated release authorization of the
subject of the record. The release authorization must be dated within
the last year and must state specifically that the documents may be
released to you.</td>
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<td></td>
<td colspan="12">     </td>
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<td colspan="13"></td>
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<td colspan="13"><h1
id="paperwork-reduction-act-public-burden-statement">PAPERWORK REDUCTION
ACT PUBLIC BURDEN STATEMENT</h1>
<h1
id="you-are-not-required-to-provide-the-information-requested-on-a-form-that-is-subject-to-the-paperwork-reduction-act-unless-the-form-displays-a-valid-omb-control-number.-the-information-requested-on-this-form-is-being-collected-and-used-by-the-national-personnel-records-center-to-ensure-that-the-requirement-is-met-to-obtain-either-a-court-order-or-a-release-from-the-veteran-before-access-to-military-and-civilian-personnel-and-medical-records-is-granted.-public-burden-reporting-for-this-collection-of-information-is-estimated-to-be-fifteen-minutes-per-response-including-time-for-reviewing-instructions-and-completing-and-reviewing-the-collection-of-information.-send-comments-regarding-the-burden-estimate-or-any-other-aspect-of-the-collection-of-information-including-suggestions-for-reducing-this-burden-to-national-archives-and-records-administration-nhp-8601-adelphi-road-college-park-md-20740-6001.-do-not-send-completed-forms-to-this-address.-send-completed-forms-to-the-address-shown-below.">You
are not required to provide the information requested on a form that is
subject to the Paperwork Reduction Act unless the form displays a valid
OMB control number. The information requested on this form is being
collected and used by the National Personnel Records Center to ensure
that the requirement is met to obtain either a court order or a release
from the veteran before access to military and civilian personnel and
medical records is granted. Public burden reporting for this collection
of information is estimated to be fifteen minutes per response,
including time for reviewing instructions and completing and reviewing
the collection of information. Send comments regarding the burden
estimate or any other aspect of the collection of information, including
suggestions for reducing this burden, to National Archives and Records
Administration (NHP), 8601 Adelphi Road, College Park, MD 20740-6001. DO
NOT SEND COMPLETED FORMS TO THIS ADDRESS. SEND COMPLETED FORMS TO THE
ADDRESS SHOWN BELOW. </h1></td>
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<td colspan="3" rowspan="2">     </td>
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<td colspan="4" rowspan="7">     </td>
<td rowspan="7"></td>
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<td></td>
<td colspan="3"><p>Date</p>
<p>     </p></td>
<td colspan="2"></td>
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<td colspan="5">Prepared by      </td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"> Operations Branch Reference Service Branch</td>
<td></td>
</tr>
<tr class="even">
<td colspan="5">NATIONAL PERSONNEL RECORDS CENTER</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3" rowspan="3"><p> Military Personnel Records</p>
<p>9700 Page Avenue</p>
<p>St. Louis, MO 63132-5100</p></td>
<td colspan="2" rowspan="3"><p> Civilian Personnel Records</p>
<p>111 Winnebago Street</p>
<p>St. Louis, MO 63118-4199</p></td>
<td></td>
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<td></td>
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NATIONAL ARCHIVES AND RECORDS ADMINISTRATION NA FORM 13027 (REV. XX-05)