Executive Privilege Claim Request Form
Executive Privilege Claim Request Form – Use this form to submit and document an executive privilege claim request for review.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Department or Organization
*
Date of Request
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Privilege Claimed
*
Please Select
Deliberative Process
National Security
Attorney-Client Communication
Presidential Communications
Other
Relevant Case or Document Reference
Justification for Privilege Claim
*
Supervisor or Legal Counsel Contact (optional)
Additional Comments or Supporting Information
Submit Claim
Should be Empty: