{"id":31029,"date":"2023-09-06T15:38:40","date_gmt":"2023-09-06T19:38:40","guid":{"rendered":"https:\/\/cortezmasto-staging.creativengine.com\/?page_id=31029"},"modified":"2023-09-06T15:40:18","modified_gmt":"2023-09-06T19:40:18","slug":"form","status":"publish","type":"page","link":"https:\/\/www.cortezmasto.senate.gov\/es\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/","title":{"rendered":"Immigration &#038; Citizenship Privacy Release Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"31029\" class=\"elementor elementor-31029\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f7c7cd4 e-flex e-con-boxed e-con e-parent\" data-id=\"f7c7cd4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b41c04c eael-gravity-form-button-custom elementor-widget elementor-widget-eael-gravity-form\" data-id=\"b41c04c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"eael-contact-form eael-gravity-form eael-contact-form-align-default\">\n\t\t        <script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_26' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_26'  action='\/es\/wp-json\/wp\/v2\/pages\/31029' data-formid='26' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_26' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_26_1\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Contact Information<\/h3><\/div><div id=\"field_26_3\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_3'>Prefix<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_26_3' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--<\/option><option value='Mr.' >Mr.<\/option><option value='Ms.' >Ms.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Prefer not to identify' >Prefer not to identify<\/option><option value='Professor' >Professor<\/option><option value='Dr.' >Dr.<\/option><option value='Father' >Father<\/option><option value='Sister' >Sister<\/option><option value='Rabbi' >Rabbi<\/option><option value='Reverend' >Reverend<\/option><option value='Air Force - General' >Air Force - General<\/option><option value='Air Force - Lieutenant General' >Air Force - Lieutenant General<\/option><option value='Air Force - Major General' >Air Force - Major General<\/option><option value='Air Force - Brigadier General' >Air Force - Brigadier General<\/option><option value='Air Force - Colonel' >Air Force - Colonel<\/option><option value='Air Force - Lieutenant Colonel' >Air Force - Lieutenant Colonel<\/option><option value='Air Force - Major' >Air Force - Major<\/option><option value='Air Force - Captain' >Air Force - Captain<\/option><option value='Air Force - First Lieutenant' >Air Force - First Lieutenant<\/option><option value='Air Force - Second Lieutenant' >Air Force - Second Lieutenant<\/option><option value='Air Force - Chief Master Sergeant of the Air Force' >Air Force - Chief Master Sergeant of the Air Force<\/option><option value='Air Force - Command Chief Master Sergeant' >Air Force - Command Chief Master Sergeant<\/option><option value='Air Force - First Sergeant (E-9)' >Air Force - First Sergeant (E-9)<\/option><option value='Air Force - Chief Master Sergeant' >Air Force - Chief Master Sergeant<\/option><option value='Air Force - First Sergeant (E-8)' >Air Force - First Sergeant (E-8)<\/option><option value='Air Force - Senior Master Sergeant' >Air Force - Senior Master Sergeant<\/option><option value='Air Force - First Sergeant (E-7)' >Air Force - First Sergeant (E-7)<\/option><option value='Air Force - Master Sergeant' >Air Force - Master Sergeant<\/option><option value='Air Force - Technical Sergeant' >Air Force - Technical Sergeant<\/option><option value='Air Force - Staff Sergeant' >Air Force - Staff Sergeant<\/option><option value='Air Force - Senior Airman' >Air Force - Senior Airman<\/option><option value='Air Force - Airman First Class' >Air Force - Airman First Class<\/option><option value='Air Force - Airman' >Air Force - Airman<\/option><option value='Air Force - Airman Basic' >Air Force - Airman Basic<\/option><option value='Army - General' >Army - General<\/option><option value='Army - Lieutenant General' >Army - Lieutenant General<\/option><option value='Army - Major General' >Army - Major General<\/option><option value='Army - Brigadier General' >Army - Brigadier General<\/option><option value='Army - Colonel' >Army - Colonel<\/option><option value='Army - Lieutenant Colonel' >Army - Lieutenant Colonel<\/option><option value='Army - Major' >Army - Major<\/option><option value='Army - Captain' >Army - Captain<\/option><option value='Army - First Lieutenant' >Army - First Lieutenant<\/option><option value='Army - Second Lieutenant' >Army - Second Lieutenant<\/option><option value='Army - Chief Warrant Officer - 5' >Army - Chief Warrant Officer - 5<\/option><option value='Army - Chief Warrant Officer - 4' >Army - Chief Warrant Officer - 4<\/option><option value='Army - Chief Warrant Officer - 3' >Army - Chief Warrant Officer - 3<\/option><option value='Army - Chief Warrant Officer - 2' >Army - Chief Warrant Officer - 2<\/option><option value='Army - Warrant Officer' >Army - Warrant Officer<\/option><option value='Army - Sergeant Major of the Army' >Army - Sergeant Major of the Army<\/option><option value='Army - Command Sergeant Major' >Army - Command Sergeant Major<\/option><option value='Army - Sergeant Major' >Army - Sergeant Major<\/option><option value='Army - First Sergeant' >Army - First Sergeant<\/option><option value='Army - Master Sergeant' >Army - Master Sergeant<\/option><option value='Army - Sergeant First Class' >Army - Sergeant First Class<\/option><option value='Army - Staff Sergeant' >Army - Staff Sergeant<\/option><option value='Army - Sergeant' >Army - Sergeant<\/option><option value='Army - Corporal' >Army - Corporal<\/option><option value='Army - Specialist' >Army - Specialist<\/option><option value='Army - Private First Class' >Army - Private First Class<\/option><option value='Army - Private (E-2)' >Army - Private (E-2)<\/option><option value='Army - Private' >Army - Private<\/option><option value='Coast Guard - Admiral' >Coast Guard - Admiral<\/option><option value='Coast Guard - Vice Admiral' >Coast Guard - Vice Admiral<\/option><option value='Coast Guard - Rear Admiral, Upper Half' >Coast Guard - Rear Admiral, Upper Half<\/option><option value='Coast Guard - Rear Admiral, Lower Half' >Coast Guard - Rear Admiral, Lower Half<\/option><option value='Coast Guard - Captain' >Coast Guard - Captain<\/option><option value='Coast Guard - Commander' >Coast Guard - Commander<\/option><option value='Coast Guard - Lieutenant Commander' >Coast Guard - Lieutenant Commander<\/option><option value='Coast Guard - Lieutenant' >Coast Guard - Lieutenant<\/option><option value='Coast Guard - Lieutenant Junior Grade' >Coast Guard - Lieutenant Junior Grade<\/option><option value='Coast Guard - Ensign' >Coast Guard - Ensign<\/option><option value='Coast Guard - Chief Warrant Officer - 4' >Coast Guard - Chief Warrant Officer - 4<\/option><option value='Coast Guard - Chief Warrant Officer - 3' >Coast Guard - Chief Warrant Officer - 3<\/option><option value='Coast Guard - Chief Warrant Officer - 2' >Coast Guard - Chief Warrant Officer - 2<\/option><option value='Coast Guard - Master Chief Petty Officer of the Coast Guard' >Coast Guard - Master Chief Petty Officer of the Coast Guard<\/option><option value='Coast Guard - Master Chief Petty Officer' >Coast Guard - Master Chief Petty Officer<\/option><option value='Coast Guard - Senior Chief Petty Officer' >Coast Guard - Senior Chief Petty Officer<\/option><option value='Coast Guard - Chief Petty Officer' >Coast Guard - Chief Petty Officer<\/option><option value='Coast Guard - Petty Officer First Class' >Coast Guard - Petty Officer First Class<\/option><option value='Coast Guard - Petty Officer Second Class' >Coast Guard - Petty Officer Second Class<\/option><option value='Coast Guard - Petty Officer Third Class' >Coast Guard - Petty Officer Third Class<\/option><option value='Coast Guard - Seaman' >Coast Guard - Seaman<\/option><option value='Coast Guard - Seaman Apprentice' >Coast Guard - Seaman Apprentice<\/option><option value='Coast Guard - Seaman Recruit' >Coast Guard - Seaman Recruit<\/option><option value='Marine Corps - General' >Marine Corps - General<\/option><option value='Marine Corps - Lieutenant General' >Marine Corps - Lieutenant General<\/option><option value='Marine Corps - Major General' >Marine Corps - Major General<\/option><option value='Marine Corps - Brigadier General' >Marine Corps - Brigadier General<\/option><option value='Marine Corps - Colonel' >Marine Corps - Colonel<\/option><option value='Marine Corps - Lieutenant Colonel' >Marine Corps - Lieutenant Colonel<\/option><option value='Marine Corps - Major' >Marine Corps - Major<\/option><option value='Marine Corps - Captain' >Marine Corps - Captain<\/option><option value='Marine Corps - First Lieutenant' >Marine Corps - First Lieutenant<\/option><option value='Marine Corps - Second Lieutenant' >Marine Corps - Second Lieutenant<\/option><option value='Marine Corps - Chief Warrant Officer - 5' >Marine Corps - Chief Warrant Officer - 5<\/option><option value='Marine Corps - Chief Warrant Officer - 4' >Marine Corps - Chief Warrant Officer - 4<\/option><option value='Marine Corps - Chief Warrant Officer - 3' >Marine Corps - Chief Warrant Officer - 3<\/option><option value='Marine Corps - Chief Warrant Officer - 2' >Marine Corps - Chief Warrant Officer - 2<\/option><option value='Marine Corps - Warrant Officer' >Marine Corps - Warrant Officer<\/option><option value='Marine Corps - Sergeant Major of the Marine Corps' >Marine Corps - Sergeant Major of the Marine Corps<\/option><option value='Marine Corps - Sergeant Major' >Marine Corps - Sergeant Major<\/option><option value='Marine Corps - Master Gunnery Sergeant' >Marine Corps - Master Gunnery Sergeant<\/option><option value='Marine Corps - First Sergeant' >Marine Corps - First Sergeant<\/option><option value='Marine Corps - Master Sergeant' >Marine Corps - Master Sergeant<\/option><option value='Marine Corps - Gunnery Sergeant' >Marine Corps - Gunnery Sergeant<\/option><option value='Marine Corps - Staff Sergeant' >Marine Corps - Staff Sergeant<\/option><option value='Marine Corps - Sergeant' >Marine Corps - Sergeant<\/option><option value='Marine Corps - Corporal' >Marine Corps - Corporal<\/option><option value='Marine Corps - Lance Corporal' >Marine Corps - Lance Corporal<\/option><option value='Marine Corps - Private First Class' >Marine Corps - Private First Class<\/option><option value='Marine Corps - Private' >Marine Corps - Private<\/option><option value='Navy - Admiral' >Navy - Admiral<\/option><option value='Navy - Vice Admiral' >Navy - Vice Admiral<\/option><option value='Navy - Rear Admiral, Upper Half' >Navy - Rear Admiral, Upper Half<\/option><option value='Navy - Rear Admiral, Lower Half' >Navy - Rear Admiral, Lower Half<\/option><option value='Navy - Captain' >Navy - Captain<\/option><option value='Navy - Commander' >Navy - Commander<\/option><option value='Navy - Lieutenant Commander' >Navy - Lieutenant Commander<\/option><option value='Navy - Lieutenant' >Navy - Lieutenant<\/option><option value='Navy - Lieutenant Junior Grade' >Navy - Lieutenant Junior Grade<\/option><option value='Navy - Ensign' >Navy - Ensign<\/option><option value='Navy - Chief Warrant Officer - 4' >Navy - Chief Warrant Officer - 4<\/option><option value='Navy - Chief Warrant Officer - 3' >Navy - Chief Warrant Officer - 3<\/option><option value='Navy - Chief Warrant Officer - 2' >Navy - Chief Warrant Officer - 2<\/option><option value='Navy - Master Chief Petty Officer of the Navy' >Navy - Master Chief Petty Officer of the Navy<\/option><option value='Navy - Master Chief Petty Officer' >Navy - Master Chief Petty Officer<\/option><option value='Navy - Senior Chief Pretty Officer' >Navy - Senior Chief Pretty Officer<\/option><option value='Navy - Chief Petty Officer' >Navy - Chief Petty Officer<\/option><option value='Navy - Petty Officer First Class' >Navy - Petty Officer First Class<\/option><option value='Navy - Petty Officer Second Class' >Navy - Petty Officer Second Class<\/option><option value='Navy - Petty Officer Third Class' >Navy - Petty Officer Third Class<\/option><option value='Navy - Seaman Apprentice' >Navy - Seaman Apprentice<\/option><option value='Navy - Seaman' >Navy - Seaman<\/option><option value='Navy - Seaman Recruit' >Navy - Seaman Recruit<\/option><\/select><\/div><\/div><div id=\"field_26_5\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_5'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_26_5' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_7\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_7'>MI<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_26_7' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_36\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_36'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_26_36' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_26_8\" class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_26_8' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_26_8_1_container' >\n                                        <label for='input_26_8_1' id='input_26_8_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_8.1' id='input_26_8_1' value=''   placeholder='Required' aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_26_8_2_container' >\n                                        <label for='input_26_8_2' id='input_26_8_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_8.2' id='input_26_8_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_26_8_3_container' >\n                                    <label for='input_26_8_3' id='input_26_8_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_8.3' id='input_26_8_3' value=''   placeholder='Required' aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_26_8_4_container' >\n                                        <label for='input_26_8_4' id='input_26_8_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_8.4' id='input_26_8_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' selected='selected'>Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_26_8_5_container' >\n                                    <label for='input_26_8_5' id='input_26_8_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_8.5' id='input_26_8_5' value=''   placeholder='Required' aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_8.6' id='input_26_8_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_26_9\" class=\"gfield gfield--type-email gfield--width-full EmailConfirmationRow gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_26_9_container'>\n                                <span id='input_26_9_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_9' id='input_26_9' value=''   placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_26_9' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_26_9_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_9_2' id='input_26_9_2' value=''   placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_26_9_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_26_12\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_12'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_12' id='input_26_12' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_26_12_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_26_12_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_26_12' class='gform_hidden' value='https:\/\/www.cortezmasto.senate.gov\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_26_11\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_11'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_26_11' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_29\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_29'>Country of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_26_29' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_30\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_30'>Alien Number (if any)<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_26_30' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_42\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_42'>Receipt Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_26_42' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_43\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_43'>Date of Filing<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_43' id='input_26_43' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_26_43_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_26_43_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_26_43' class='gform_hidden' value='https:\/\/www.cortezmasto.senate.gov\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_26_31\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Beneficiary Information<\/h3><\/div><div id=\"field_26_32\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><strong>The address listed must match the mailing address submitted on the initial application.<\/strong><\/p><\/div><div id=\"field_26_33\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_33'>Prefix<\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_26_33' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--<\/option><option value='Mr.' >Mr.<\/option><option value='Ms.' >Ms.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Prefer not to identify' >Prefer not to identify<\/option><option value='Professor' >Professor<\/option><option value='Dr.' >Dr.<\/option><option value='Father' >Father<\/option><option value='Sister' >Sister<\/option><option value='Rabbi' >Rabbi<\/option><option value='Reverend' >Reverend<\/option><option value='Air Force - General' >Air Force - General<\/option><option value='Air Force - Lieutenant General' >Air Force - Lieutenant General<\/option><option value='Air Force - Major General' >Air Force - Major General<\/option><option value='Air Force - Brigadier General' >Air Force - Brigadier General<\/option><option value='Air Force - Colonel' >Air Force - Colonel<\/option><option value='Air Force - Lieutenant Colonel' >Air Force - Lieutenant Colonel<\/option><option value='Air Force - Major' >Air Force - Major<\/option><option value='Air Force - Captain' >Air Force - Captain<\/option><option value='Air Force - First Lieutenant' >Air Force - First Lieutenant<\/option><option value='Air Force - Second Lieutenant' >Air Force - Second Lieutenant<\/option><option value='Air Force - Chief Master Sergeant of the Air Force' >Air Force - Chief Master Sergeant of the Air Force<\/option><option value='Air Force - Command Chief Master Sergeant' >Air Force - Command Chief Master Sergeant<\/option><option value='Air Force - First Sergeant (E-9)' >Air Force - First Sergeant (E-9)<\/option><option value='Air Force - Chief Master Sergeant' >Air Force - Chief Master Sergeant<\/option><option value='Air Force - First Sergeant (E-8)' >Air Force - First Sergeant (E-8)<\/option><option value='Air Force - Senior Master Sergeant' >Air Force - Senior Master Sergeant<\/option><option value='Air Force - First Sergeant (E-7)' >Air Force - First Sergeant (E-7)<\/option><option value='Air Force - Master Sergeant' >Air Force - Master Sergeant<\/option><option value='Air Force - Technical Sergeant' >Air Force - Technical Sergeant<\/option><option value='Air Force - Staff Sergeant' >Air Force - Staff Sergeant<\/option><option value='Air Force - Senior Airman' >Air Force - Senior Airman<\/option><option value='Air Force - Airman First Class' >Air Force - Airman First Class<\/option><option value='Air Force - Airman' >Air Force - Airman<\/option><option value='Air Force - Airman Basic' >Air Force - Airman Basic<\/option><option value='Army - General' >Army - General<\/option><option value='Army - Lieutenant General' >Army - Lieutenant General<\/option><option value='Army - Major General' >Army - Major General<\/option><option value='Army - Brigadier General' >Army - Brigadier General<\/option><option value='Army - Colonel' >Army - Colonel<\/option><option value='Army - Lieutenant Colonel' >Army - Lieutenant Colonel<\/option><option value='Army - Major' >Army - Major<\/option><option value='Army - Captain' >Army - Captain<\/option><option value='Army - First Lieutenant' >Army - First Lieutenant<\/option><option value='Army - Second Lieutenant' >Army - Second Lieutenant<\/option><option value='Army - Chief Warrant Officer - 5' >Army - Chief Warrant Officer - 5<\/option><option value='Army - Chief Warrant Officer - 4' >Army - Chief Warrant Officer - 4<\/option><option value='Army - Chief Warrant Officer - 3' >Army - Chief Warrant Officer - 3<\/option><option value='Army - Chief Warrant Officer - 2' >Army - Chief Warrant Officer - 2<\/option><option value='Army - Warrant Officer' >Army - Warrant Officer<\/option><option value='Army - Sergeant Major of the Army' >Army - Sergeant Major of the Army<\/option><option value='Army - Command Sergeant Major' >Army - Command Sergeant Major<\/option><option value='Army - Sergeant Major' >Army - Sergeant Major<\/option><option value='Army - First Sergeant' >Army - First Sergeant<\/option><option value='Army - Master Sergeant' >Army - Master Sergeant<\/option><option value='Army - Sergeant First Class' >Army - Sergeant First Class<\/option><option value='Army - Staff Sergeant' >Army - Staff Sergeant<\/option><option value='Army - Sergeant' >Army - Sergeant<\/option><option value='Army - Corporal' >Army - Corporal<\/option><option value='Army - Specialist' >Army - Specialist<\/option><option value='Army - Private First Class' >Army - Private First Class<\/option><option value='Army - Private (E-2)' >Army - Private (E-2)<\/option><option value='Army - Private' >Army - Private<\/option><option value='Coast Guard - Admiral' >Coast Guard - Admiral<\/option><option value='Coast Guard - Vice Admiral' >Coast Guard - Vice Admiral<\/option><option value='Coast Guard - Rear Admiral, Upper Half' >Coast Guard - Rear Admiral, Upper Half<\/option><option value='Coast Guard - Rear Admiral, Lower Half' >Coast Guard - Rear Admiral, Lower Half<\/option><option value='Coast Guard - Captain' >Coast Guard - Captain<\/option><option value='Coast Guard - Commander' >Coast Guard - Commander<\/option><option value='Coast Guard - Lieutenant Commander' >Coast Guard - Lieutenant Commander<\/option><option value='Coast Guard - Lieutenant' >Coast Guard - Lieutenant<\/option><option value='Coast Guard - Lieutenant Junior Grade' >Coast Guard - Lieutenant Junior Grade<\/option><option value='Coast Guard - Ensign' >Coast Guard - Ensign<\/option><option value='Coast Guard - Chief Warrant Officer - 4' >Coast Guard - Chief Warrant Officer - 4<\/option><option value='Coast Guard - Chief Warrant Officer - 3' >Coast Guard - Chief Warrant Officer - 3<\/option><option value='Coast Guard - Chief Warrant Officer - 2' >Coast Guard - Chief Warrant Officer - 2<\/option><option value='Coast Guard - Master Chief Petty Officer of the Coast Guard' >Coast Guard - Master Chief Petty Officer of the Coast Guard<\/option><option value='Coast Guard - Master Chief Petty Officer' >Coast Guard - Master Chief Petty Officer<\/option><option value='Coast Guard - Senior Chief Petty Officer' >Coast Guard - Senior Chief Petty Officer<\/option><option value='Coast Guard - Chief Petty Officer' >Coast Guard - Chief Petty Officer<\/option><option value='Coast Guard - Petty Officer First Class' >Coast Guard - Petty Officer First Class<\/option><option value='Coast Guard - Petty Officer Second Class' >Coast Guard - Petty Officer Second Class<\/option><option value='Coast Guard - Petty Officer Third Class' >Coast Guard - Petty Officer Third Class<\/option><option value='Coast Guard - Seaman' >Coast Guard - Seaman<\/option><option value='Coast Guard - Seaman Apprentice' >Coast Guard - Seaman Apprentice<\/option><option value='Coast Guard - Seaman Recruit' >Coast Guard - Seaman Recruit<\/option><option value='Marine Corps - General' >Marine Corps - General<\/option><option value='Marine Corps - Lieutenant General' >Marine Corps - Lieutenant General<\/option><option value='Marine Corps - Major General' >Marine Corps - Major General<\/option><option value='Marine Corps - Brigadier General' >Marine Corps - Brigadier General<\/option><option value='Marine Corps - Colonel' >Marine Corps - Colonel<\/option><option value='Marine Corps - Lieutenant Colonel' >Marine Corps - Lieutenant Colonel<\/option><option value='Marine Corps - Major' >Marine Corps - Major<\/option><option value='Marine Corps - Captain' >Marine Corps - Captain<\/option><option value='Marine Corps - First Lieutenant' >Marine Corps - First Lieutenant<\/option><option value='Marine Corps - Second Lieutenant' >Marine Corps - Second Lieutenant<\/option><option value='Marine Corps - Chief Warrant Officer - 5' >Marine Corps - Chief Warrant Officer - 5<\/option><option value='Marine Corps - Chief Warrant Officer - 4' >Marine Corps - Chief Warrant Officer - 4<\/option><option value='Marine Corps - Chief Warrant Officer - 3' >Marine Corps - Chief Warrant Officer - 3<\/option><option value='Marine Corps - Chief Warrant Officer - 2' >Marine Corps - Chief Warrant Officer - 2<\/option><option value='Marine Corps - Warrant Officer' >Marine Corps - Warrant Officer<\/option><option value='Marine Corps - Sergeant Major of the Marine Corps' >Marine Corps - Sergeant Major of the Marine Corps<\/option><option value='Marine Corps - Sergeant Major' >Marine Corps - Sergeant Major<\/option><option value='Marine Corps - Master Gunnery Sergeant' >Marine Corps - Master Gunnery Sergeant<\/option><option value='Marine Corps - First Sergeant' >Marine Corps - First Sergeant<\/option><option value='Marine Corps - Master Sergeant' >Marine Corps - Master Sergeant<\/option><option value='Marine Corps - Gunnery Sergeant' >Marine Corps - Gunnery Sergeant<\/option><option value='Marine Corps - Staff Sergeant' >Marine Corps - Staff Sergeant<\/option><option value='Marine Corps - Sergeant' >Marine Corps - Sergeant<\/option><option value='Marine Corps - Corporal' >Marine Corps - Corporal<\/option><option value='Marine Corps - Lance Corporal' >Marine Corps - Lance Corporal<\/option><option value='Marine Corps - Private First Class' >Marine Corps - Private First Class<\/option><option value='Marine Corps - Private' >Marine Corps - Private<\/option><option value='Navy - Admiral' >Navy - Admiral<\/option><option value='Navy - Vice Admiral' >Navy - Vice Admiral<\/option><option value='Navy - Rear Admiral, Upper Half' >Navy - Rear Admiral, Upper Half<\/option><option value='Navy - Rear Admiral, Lower Half' >Navy - Rear Admiral, Lower Half<\/option><option value='Navy - Captain' >Navy - Captain<\/option><option value='Navy - Commander' >Navy - Commander<\/option><option value='Navy - Lieutenant Commander' >Navy - Lieutenant Commander<\/option><option value='Navy - Lieutenant' >Navy - Lieutenant<\/option><option value='Navy - Lieutenant Junior Grade' >Navy - Lieutenant Junior Grade<\/option><option value='Navy - Ensign' >Navy - Ensign<\/option><option value='Navy - Chief Warrant Officer - 4' >Navy - Chief Warrant Officer - 4<\/option><option value='Navy - Chief Warrant Officer - 3' >Navy - Chief Warrant Officer - 3<\/option><option value='Navy - Chief Warrant Officer - 2' >Navy - Chief Warrant Officer - 2<\/option><option value='Navy - Master Chief Petty Officer of the Navy' >Navy - Master Chief Petty Officer of the Navy<\/option><option value='Navy - Master Chief Petty Officer' >Navy - Master Chief Petty Officer<\/option><option value='Navy - Senior Chief Pretty Officer' >Navy - Senior Chief Pretty Officer<\/option><option value='Navy - Chief Petty Officer' >Navy - Chief Petty Officer<\/option><option value='Navy - Petty Officer First Class' >Navy - Petty Officer First Class<\/option><option value='Navy - Petty Officer Second Class' >Navy - Petty Officer Second Class<\/option><option value='Navy - Petty Officer Third Class' >Navy - Petty Officer Third Class<\/option><option value='Navy - Seaman Apprentice' >Navy - Seaman Apprentice<\/option><option value='Navy - Seaman' >Navy - Seaman<\/option><option value='Navy - Seaman Recruit' >Navy - Seaman Recruit<\/option><\/select><\/div><\/div><div id=\"field_26_34\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_34'>First Name<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_26_34' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_35\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_35'>MI<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_26_35' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_6\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_6'>Last Name<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_26_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_26_37\" class=\"gfield gfield--type-address gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_26_37' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_26_37_1_container' >\n                                        <label for='input_26_37_1' id='input_26_37_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_37.1' id='input_26_37_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_26_37_2_container' >\n                                        <label for='input_26_37_2' id='input_26_37_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_37.2' id='input_26_37_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_26_37_3_container' >\n                                    <label for='input_26_37_3' id='input_26_37_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_37.3' id='input_26_37_3' value=''    aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_26_37_4_container' >\n                                        <label for='input_26_37_4' id='input_26_37_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_37.4' id='input_26_37_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' selected='selected'>Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_26_37_5_container' >\n                                    <label for='input_26_37_5' id='input_26_37_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_37.5' id='input_26_37_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_37.6' id='input_26_37_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_26_38\" class=\"gfield gfield--type-email gfield--width-full EmailConfirmationRow field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_26_38_container'>\n                                <span id='input_26_38_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_38' id='input_26_38' value=''     aria-invalid=\"false\"  \/>\n                                    <label for='input_26_38' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_26_38_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_38_2' id='input_26_38_2' value=''     aria-invalid=\"false\"  \/>\n                                    <label for='input_26_38_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_26_39\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_39'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_39' id='input_26_39' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_26_39_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_26_39_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_26_39' class='gform_hidden' value='https:\/\/www.cortezmasto.senate.gov\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_26_41\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_41'>Alien Number (if any)<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_26_41' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_44\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_44'>Brief description of the issue<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_44' id='input_26_44' class='textarea large'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_26_47\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Please print document and add your signature. You are welcomed to mail the document to the closest office, by email at <a href=\"mailto:casework@cortezmasto.senate.gov\">Casework@cortezmasto.senate.gov<\/a>, or by fax at 702-388-5030.<\/p><\/div><div id=\"field_26_48\" class=\"gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_48'>CAPTCHA<\/label><div id='input_26_48' class='ginput_container ginput_recaptcha' data-sitekey='6LfO9xkoAAAAACsdYG1H8Z5_J3Ua4oPdKFIQqrK_'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_26' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_26' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_26' id='gform_theme_26' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_26' id='gform_style_settings_26' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_26' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='26' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='wQeLVfRC+ZmsZ0cqmlWmZIkBYKvKmY73IPIp9a9vyI9Qg1CXACAnQ\/yljwX6ONpbv\/Kl3ZYdHw8i5afH5hyzywwzTOr9NZSUyko5I+Tec73uIfI=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_26' value='["{\"3\":[\"f58996c1d0034157ed8714af862b3449\",\"ca99ee0077037c96dd23585bca29f0f2\",\"3682b5fdf14cba9ae73c414dbcd63c31\",\"c66567aec0e4fa5e2ed56e35724395ca\",\"69b89092fe160c235446095a7310fc3a\",\"64007293708467df8256f0ff22105385\",\"51358d711a982d50ad812daa96c19745\",\"184bda29c672e09b1a235806db89ee40\",\"0f8cb003bd731d5861c2539802b373ac\",\"3729bc78f5ed5c3671124ec292e8bedf\",\"a36b9a74810751f0560d4247c1174214\",\"d01961f1b21c0a11f2d2b5ce2c5e32a3\",\"cce6c74035044faa19c3e226b6955558\",\"47d5e2060b4dc62b480d1dcefed11a50\",\"490813df98bd372a0fd305e82e276b60\",\"e60273957566124680c1febf31a93919\",\"35c0aec83cc8c19568ce771f543dc9ac\",\"4ed02a7c69d7c632abad6f592d7f0699\",\"bb7f2ce5b650903ff3f5bd816990c8c4\",\"eb9452ba79db2359f7cb74cf9671f416\",\"de021a0ab8591e611f82e92ced96b5c6\",\"04b30fecaeac4189e35c5766d4d6cfcb\",\"bc87da3a220347d46ed4679761d8af8e\",\"7e8449077b3d78f3b1668601ea8ea0d0\",\"c4344bdd03c7d8ca26e2d4b035deac86\",\"0cd0be3038836b4e2e402ce83e52e892\",\"7e46836a79d8a90d560c4c38b5392218\",\"fbb9587a5e9b09b625d9479ebc041bf9\",\"dd3727b50138836d86996b0518e47919\",\"63e929b6dc004531362841514b5fbb73\",\"2758754bcf4b52b7b768eb51fb895645\",\"c04388931ddb55b4dbc2953d9046e75e\",\"e592d972807f3c3e7101476d4b86489b\",\"85e8388627c3c82b8741b2619494b24c\",\"4ff623d19ad94d272fda52b5ed56c5ee\",\"c2324996f2b863a653bca58c275bc724\",\"1df649a83fffa4eabbdcabfbfe149967\",\"60314d10704ab4428fbf70fdc76c603d\",\"08ab25efa27f9eac82538ebb20fa2e86\",\"d06f7b2679a591d4285d0dab49c7e83c\",\"5ffeb5ad4544bfcf63b853aa55eeb218\",\"cfae018de06ef085aa98f3eb70698cc6\",\"de683bf603975b03b56c1eb0abec7c79\",\"2184d0eef9034d77d85ab21b17b45f00\",\"34283ff04a53eed213fa42f5f0f7e709\",\"a0476a9450bc1ad814c864a81d2a125d\",\"642001ae49f35ecdf32f23aa6516416a\",\"c1c7a98f2892e33ec280411ab28d28aa\",\"05e8294a1924cf3183628454d7d4f2b0\",\"4f5342a01fa263de1be8acb01669e004\",\"8139fed2c678c0f465feb3f997fea5e4\",\"d554e140c18cab9dbc61ae31680972f7\",\"fad84a9c2627455b16b526b5a35fe002\",\"edfe68f8730e4f6a5093cc8b9da81338\",\"46ac71b6294e667c05bf1aec60822b3a\",\"faa6319fa10e9b525d76a7dcd2fa2743\",\"1ae27a7702a4b3f3332a837e09e2b3d1\",\"b4bcd888e5b88d81ad5316efeec2881f\",\"441389b09fb7790b401d804571d80db7\",\"0fb9911c1d3c1b6db4ba28d15d0e0aca\",\"7ef0a780da1e3780932a3e674ac425be\",\"fe15491204ba242b739de0e003dc0300\",\"9cb4a71826095a4fa92ab822505682f1\",\"5a4f3758b82ed936721a22ccece5d4fb\",\"c5b69b6d444735dbb541c868a268d60a\",\"f909084d0044a0fab9d685af1ed45fd8\",\"a257b14089b403722bc91ad4b1dc2ddd\",\"4eb6ce440e89f03ea394fe8c95521ac6\",\"f9ad63b789119f97601c5d1fe3a1c4df\",\"7c1d1a84b55a45434401412eb4fbecb3\",\"7503171add4059cb1d25ada32241fd46\",\"b1f8edb903a16f995fe620140517c42c\",\"03482f4d1574d2bcc4aa29028110c6f1\",\"60a976d0110ac1bfd88c857a01a2879a\",\"fa57d2568ffdbd8cf7cbd67970ba0348\",\"9922ddd61e5353267e66c2f6c8b36ddf\",\"55fd0f41afd522bdb6c4d57a6db79367\",\"52849e06e9caa34186438ff9266f6d1a\",\"2d3abe8e44df9c4c374ea8bc3fc2aa52\",\"59b599b79482ae8c6f366af8a691ff20\",\"3565e720fbe040a7a5beadced1b8b43a\",\"085163d29f707ece967d42acffe3f72b\",\"1ae30f17c3bab7e489391f01b63287c3\",\"542882226e0cc0e781155e9eb704f267\",\"92fb641f67fa7296fe625f2d7b54fefc\",\"3434e39e54204af3af23d2bd95999b12\",\"0200b524edbfdcb8b2e1f45504b390b4\",\"9b3ab35b907089f0707c0c6f942a49d1\",\"3db217341bd51138f4c2b4ba4d6739ba\",\"ea4a2c299f9ffd16b2bda2c74a936aff\",\"23c132981a11a8d85363276cb58eeb39\",\"6e6f925847e4ad3762fd6fd1f83a933e\",\"da251e725b1ef906651b551957540fd0\",\"9c98f72165618593b0c85202794bd697\",\"2f0a7ab6b960e0f0126ba3a8ab961d40\",\"cc7a302d1bbda6edeb5ff2b7dfc821e7\",\"8bd9fb5084d20189455e55b8b8c85c53\",\"cb09a86178f7be35535b80b43d811676\",\"d7047d5d76ac0385a59ef28b912fe115\",\"bea4808864565c7c04992f8ffeb50f5d\",\"72b71d27b8e5138596049d61f091cc42\",\"886a9f83663b116ea6cc394b3c848035\",\"131f5e4356d2f04d284b77ce88c7864b\",\"31b09cdb1e11844beea81daab4e49d6f\",\"ae00e4d134653d709731ed8818b24f7f\",\"bccb3287c545870120e355865d33b6f6\",\"8aedb487e9ce8a61cde8bd97bc5f56e4\",\"c085af37cdb162b6efdc3c76ee1aa364\",\"c6869c7792b2ce08d251d89c9d5641b5\",\"335988cd3ffd26cd5dc884a187f085a9\",\"091ebb8f2d94f275b708335a9ee9be62\",\"88a07b61eefceef7ef30e79e7cb29ac2\",\"5b08f338f43c05ccfbff063abd165a78\",\"907006b470339c1c52a0e062d5bdb2c5\",\"a6b08432dcc054d9af2260da29ec5dd4\",\"90404f82c271afcd2677e657c38bca69\",\"e8c137f8d2f1862a68583e8a52f76ae5\",\"42ae846c22142ab401d36fc8df86eff4\",\"820916977d09602bd117e60bece16d89\",\"464103bb0c4a9a12dd6ca0c6ae09ead1\",\"01096bd7e5280d5804973b5d92dbf473\",\"f8221ac8c1358ae04ba8988840754713\",\"a61d2d279d4d044a4ec6b4b6903b02c0\",\"e7283fe4bb07dce4384fb54f1716adfa\",\"f0dff66956d08bcbec23d1c4e8c29de1\",\"48bccfc5b6f4795be9cf8a00e18469eb\",\"4b8a6f36a952cd0c0988411f33797458\",\"09d5bfa55402b2f4c07c80a1e96a88ae\",\"b794c79ea2ebfe5af665769e86ad4624\",\"d9bfc38142c52244cab805e80ef92405\",\"03c44fe5aae1e5237d02d26865da3f98\",\"3363783f1e91ce138e805874d6e5ecdb\",\"da85ebc06222abfad162ada16ccabf4a\",\"acca35048d79011b276a4d5929c5cdba\",\"4b8417e759a6d025dd7603c891d8e7aa\"],\"33\":[\"f58996c1d0034157ed8714af862b3449\",\"ca99ee0077037c96dd23585bca29f0f2\",\"3682b5fdf14cba9ae73c414dbcd63c31\",\"c66567aec0e4fa5e2ed56e35724395ca\",\"69b89092fe160c235446095a7310fc3a\",\"64007293708467df8256f0ff22105385\",\"51358d711a982d50ad812daa96c19745\",\"184bda29c672e09b1a235806db89ee40\",\"0f8cb003bd731d5861c2539802b373ac\",\"3729bc78f5ed5c3671124ec292e8bedf\",\"a36b9a74810751f0560d4247c1174214\",\"d01961f1b21c0a11f2d2b5ce2c5e32a3\",\"cce6c74035044faa19c3e226b6955558\",\"47d5e2060b4dc62b480d1dcefed11a50\",\"490813df98bd372a0fd305e82e276b60\",\"e60273957566124680c1febf31a93919\",\"35c0aec83cc8c19568ce771f543dc9ac\",\"4ed02a7c69d7c632abad6f592d7f0699\",\"bb7f2ce5b650903ff3f5bd816990c8c4\",\"eb9452ba79db2359f7cb74cf9671f416\",\"de021a0ab8591e611f82e92ced96b5c6\",\"04b30fecaeac4189e35c5766d4d6cfcb\",\"bc87da3a220347d46ed4679761d8af8e\",\"7e8449077b3d78f3b1668601ea8ea0d0\",\"c4344bdd03c7d8ca26e2d4b035deac86\",\"0cd0be3038836b4e2e402ce83e52e892\",\"7e46836a79d8a90d560c4c38b5392218\",\"fbb9587a5e9b09b625d9479ebc041bf9\",\"dd3727b50138836d86996b0518e47919\",\"63e929b6dc004531362841514b5fbb73\",\"2758754bcf4b52b7b768eb51fb895645\",\"c04388931ddb55b4dbc2953d9046e75e\",\"e592d972807f3c3e7101476d4b86489b\",\"85e8388627c3c82b8741b2619494b24c\",\"4ff623d19ad94d272fda52b5ed56c5ee\",\"c2324996f2b863a653bca58c275bc724\",\"1df649a83fffa4eabbdcabfbfe149967\",\"60314d10704ab4428fbf70fdc76c603d\",\"08ab25efa27f9eac82538ebb20fa2e86\",\"d06f7b2679a591d4285d0dab49c7e83c\",\"5ffeb5ad4544bfcf63b853aa55eeb218\",\"cfae018de06ef085aa98f3eb70698cc6\",\"de683bf603975b03b56c1eb0abec7c79\",\"2184d0eef9034d77d85ab21b17b45f00\",\"34283ff04a53eed213fa42f5f0f7e709\",\"a0476a9450bc1ad814c864a81d2a125d\",\"642001ae49f35ecdf32f23aa6516416a\",\"c1c7a98f2892e33ec280411ab28d28aa\",\"05e8294a1924cf3183628454d7d4f2b0\",\"4f5342a01fa263de1be8acb01669e004\",\"8139fed2c678c0f465feb3f997fea5e4\",\"d554e140c18cab9dbc61ae31680972f7\",\"fad84a9c2627455b16b526b5a35fe002\",\"edfe68f8730e4f6a5093cc8b9da81338\",\"46ac71b6294e667c05bf1aec60822b3a\",\"faa6319fa10e9b525d76a7dcd2fa2743\",\"1ae27a7702a4b3f3332a837e09e2b3d1\",\"b4bcd888e5b88d81ad5316efeec2881f\",\"441389b09fb7790b401d804571d80db7\",\"0fb9911c1d3c1b6db4ba28d15d0e0aca\",\"7ef0a780da1e3780932a3e674ac425be\",\"fe15491204ba242b739de0e003dc0300\",\"9cb4a71826095a4fa92ab822505682f1\",\"5a4f3758b82ed936721a22ccece5d4fb\",\"c5b69b6d444735dbb541c868a268d60a\",\"f909084d0044a0fab9d685af1ed45fd8\",\"a257b14089b403722bc91ad4b1dc2ddd\",\"4eb6ce440e89f03ea394fe8c95521ac6\",\"f9ad63b789119f97601c5d1fe3a1c4df\",\"7c1d1a84b55a45434401412eb4fbecb3\",\"7503171add4059cb1d25ada32241fd46\",\"b1f8edb903a16f995fe620140517c42c\",\"03482f4d1574d2bcc4aa29028110c6f1\",\"60a976d0110ac1bfd88c857a01a2879a\",\"fa57d2568ffdbd8cf7cbd67970ba0348\",\"9922ddd61e5353267e66c2f6c8b36ddf\",\"55fd0f41afd522bdb6c4d57a6db79367\",\"52849e06e9caa34186438ff9266f6d1a\",\"2d3abe8e44df9c4c374ea8bc3fc2aa52\",\"59b599b79482ae8c6f366af8a691ff20\",\"3565e720fbe040a7a5beadced1b8b43a\",\"085163d29f707ece967d42acffe3f72b\",\"1ae30f17c3bab7e489391f01b63287c3\",\"542882226e0cc0e781155e9eb704f267\",\"92fb641f67fa7296fe625f2d7b54fefc\",\"3434e39e54204af3af23d2bd95999b12\",\"0200b524edbfdcb8b2e1f45504b390b4\",\"9b3ab35b907089f0707c0c6f942a49d1\",\"3db217341bd51138f4c2b4ba4d6739ba\",\"ea4a2c299f9ffd16b2bda2c74a936aff\",\"23c132981a11a8d85363276cb58eeb39\",\"6e6f925847e4ad3762fd6fd1f83a933e\",\"da251e725b1ef906651b551957540fd0\",\"9c98f72165618593b0c85202794bd697\",\"2f0a7ab6b960e0f0126ba3a8ab961d40\",\"cc7a302d1bbda6edeb5ff2b7dfc821e7\",\"8bd9fb5084d20189455e55b8b8c85c53\",\"cb09a86178f7be35535b80b43d811676\",\"d7047d5d76ac0385a59ef28b912fe115\",\"bea4808864565c7c04992f8ffeb50f5d\",\"72b71d27b8e5138596049d61f091cc42\",\"886a9f83663b116ea6cc394b3c848035\",\"131f5e4356d2f04d284b77ce88c7864b\",\"31b09cdb1e11844beea81daab4e49d6f\",\"ae00e4d134653d709731ed8818b24f7f\",\"bccb3287c545870120e355865d33b6f6\",\"8aedb487e9ce8a61cde8bd97bc5f56e4\",\"c085af37cdb162b6efdc3c76ee1aa364\",\"c6869c7792b2ce08d251d89c9d5641b5\",\"335988cd3ffd26cd5dc884a187f085a9\",\"091ebb8f2d94f275b708335a9ee9be62\",\"88a07b61eefceef7ef30e79e7cb29ac2\",\"5b08f338f43c05ccfbff063abd165a78\",\"907006b470339c1c52a0e062d5bdb2c5\",\"a6b08432dcc054d9af2260da29ec5dd4\",\"90404f82c271afcd2677e657c38bca69\",\"e8c137f8d2f1862a68583e8a52f76ae5\",\"42ae846c22142ab401d36fc8df86eff4\",\"820916977d09602bd117e60bece16d89\",\"464103bb0c4a9a12dd6ca0c6ae09ead1\",\"01096bd7e5280d5804973b5d92dbf473\",\"f8221ac8c1358ae04ba8988840754713\",\"a61d2d279d4d044a4ec6b4b6903b02c0\",\"e7283fe4bb07dce4384fb54f1716adfa\",\"f0dff66956d08bcbec23d1c4e8c29de1\",\"48bccfc5b6f4795be9cf8a00e18469eb\",\"4b8a6f36a952cd0c0988411f33797458\",\"09d5bfa55402b2f4c07c80a1e96a88ae\",\"b794c79ea2ebfe5af665769e86ad4624\",\"d9bfc38142c52244cab805e80ef92405\",\"03c44fe5aae1e5237d02d26865da3f98\",\"3363783f1e91ce138e805874d6e5ecdb\",\"da85ebc06222abfad162ada16ccabf4a\",\"acca35048d79011b276a4d5929c5cdba\",\"4b8417e759a6d025dd7603c891d8e7aa\"]}","c68f9d8e31f491bd01788b2ff7083f25"]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_26' id='gform_target_page_number_26' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_26' id='gform_source_page_number_26' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 26, 'https:\/\/www.cortezmasto.senate.gov\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_26').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_26');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_26').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_26').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_26').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_26').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_26').val();gformInitSpinner( 26, 'https:\/\/www.cortezmasto.senate.gov\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [26, current_page]);window['gf_submitting_26'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_26').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [26]);window['gf_submitting_26'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_26').text());}else{jQuery('#gform_26').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"26\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_26\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_26\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_26\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 26, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\t\t\t<\/div>\n\n            <script type=\"text\/javascript\">\n                var gf_global = {\"gf_currency_config\":{\"name\":\"U.S. Dollar\",\"symbol_left\":\"$\",\"symbol_right\":\"\",\"symbol_padding\":\"\",\"thousand_separator\":\",\",\"decimal_separator\":\".\",\"decimals\":2,\"code\":\"USD\"},\"base_url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/plugins\\\/gravityforms\",\"number_formats\":[],\"spinnerUrl\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/plugins\\\/gravityforms\\\/images\\\/spinner.svg\",\"version_hash\":\"f6f6e023ec52df043a23ce1d7ce86fda\",\"strings\":{\"newRowAdded\":\"New row added.\",\"rowRemoved\":\"Row removed\",\"formSaved\":\"The form has been saved.  The content contains the link to return and complete the form.\"}};\t\t\t\tvar gf_vars = {\"active\":\"Active\",\"inactive\":\"Inactive\",\"save\":\"Save\",\"update\":\"Update\",\"previousLabel\":\"Previous\",\"selectFormat\":\"Select a format\",\"column\":\"Column\",\"editToViewAll\":\"5 of %d items shown. Edit field to view all\",\"selectAll\":\"Select All\",\"enterValue\":\"Enter a value\",\"formTitle\":\"Untitled Form\",\"formDescription\":\"We would love to hear from you! Please fill out this form and we will get in touch with you shortly.\",\"formConfirmationMessage\":\"Thanks for contacting us! We will get in touch with you shortly.\",\"buttonText\":\"Submit\",\"buttonDescription\":\"The submit button for this form\",\"loading\":\"Loading...\",\"thisFieldIf\":\"this field if\",\"thisSectionIf\":\"this section if\",\"thisPage\":\"this page if\",\"thisFormButton\":\"this form button if\",\"show\":\"Show\",\"hide\":\"Hide\",\"enable\":\"Enable\",\"disable\":\"Disable\",\"enabled\":\"Enabled\",\"disabled\":\"Disabled\",\"configure\":\"Configure\",\"conditional_logic_text\":\"Conditional Logic\",\"conditional_logic_desc\":\"Conditional logic allows you to change what the user sees depending on the fields they select.\",\"conditional_logic_a11y\":\"Adding conditional logic to the form submit button could cause usability problems for some users and negatively impact the accessibility of your form. Learn more about button conditional logic in our <a href=\\\"https:\\\/\\\/docs.gravityforms.com\\\/field-accessibility-warning\\\/\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">documentation<span class=\\\"screen-reader-text\\\">(opens in a new tab)<\\\/span>&nbsp;<span class=\\\"gform-icon gform-icon--external-link\\\" aria-hidden=\\\"true\\\"><\\\/span><\\\/a>.\",\"page\":\"Page\",\"next_button\":\"Next Button\",\"button\":\"Submit Button\",\"all\":\"All\",\"any\":\"Any\",\"ofTheFollowingMatch\":\"of the following match:\",\"is\":\"is\",\"isNot\":\"is not\",\"greaterThan\":\"greater than\",\"lessThan\":\"less than\",\"contains\":\"contains\",\"startsWith\":\"starts with\",\"endsWith\":\"ends with\",\"emptyChoice\":\"Empty (no choices selected)\",\"alertLegacyMode\":\"This form has legacy markup enabled and doesn\\u2019t support field resizing within the editor. Please disable legacy markup in the form settings to enable live resizing.\",\"thisConfirmation\":\"Use this confirmation if\",\"thisNotification\":\"Send this notification if\",\"confirmationSave\":\"Save\",\"confirmationSaving\":\"Saving...\",\"confirmationAreYouSure\":\"Are you sure you wish to cancel these changes?\",\"confirmationIssueSaving\":\"There was an issue saving this confirmation.\",\"confirmationConfirmDelete\":\"Are you sure you wish to delete this confirmation?\",\"confirmationIssueDeleting\":\"There was an issue deleting this confirmation.\",\"confirmationConfirmDiscard\":\"There are unsaved changes to the current confirmation. Would you like to discard these changes?\",\"confirmationDefaultName\":\"Untitled Confirmation\",\"confirmationDefaultMessage\":\"Thanks for contacting us! We will get in touch with you shortly.\",\"confirmationInvalidPageSelection\":\"Please select a page.\",\"confirmationInvalidRedirect\":\"Please enter a URL.\",\"confirmationInvalidName\":\"Please enter a confirmation name.\",\"confirmationDeleteField\":\"Deleting this field will also delete all entry data associated with it. 'Cancel' to abort. 'OK' to delete.\",\"confirmationDeleteDisplayField\":\"You're about to delete this field. 'Cancel' to stop. 'OK' to delete\",\"confirmationDeleteDisplayFieldTitle\":\"Warning\",\"conditionalLogicDependency\":\"This form contains {type} conditional logic dependent upon this field. Deleting this field will deactivate those conditional logic rules and also delete all entry data associated with the field. 'Cancel' to abort. 'OK' to delete.\",\"conditionalLogicDependencyChoice\":\"This form contains {type} conditional logic dependent upon this choice. Are you sure you want to delete this choice? 'Cancel' to abort. 'OK' to delete.\",\"conditionalLogicDependencyChoiceEdit\":\"This form contains {type} conditional logic dependent upon this choice. Are you sure you want to modify this choice? 'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicDependencyAdminOnly\":\"This form contains {type} conditional logic dependent upon this field. Are you sure you want to mark this field as Administrative? 'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicRichTextEditorWarning\":\"This form contains conditional logic dependent upon this field. This will no longer work if the Rich Text Editor is enabled.  Are you sure you want to enable the Rich Text Editor?  'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicTypeButton\":\"button\",\"conditionalLogicTypeConfirmation\":\"confirmation\",\"conditionalLogicTypeNotification\":\"notification\",\"conditionalLogicTypeNoficationRouting\":\"notification routing\",\"conditionalLogicTypeField\":\"field\",\"conditionalLogicTypeFeed\":\"feed\",\"conditionalLogicWarningTitle\":\"Conditional Logic Warning\",\"mergeTagsText\":\"Insert Merge Tags\",\"baseUrl\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/plugins\\\/gravityforms\",\"gf_currency_config\":{\"name\":\"U.S. Dollar\",\"symbol_left\":\"$\",\"symbol_right\":\"\",\"symbol_padding\":\"\",\"thousand_separator\":\",\",\"decimal_separator\":\".\",\"decimals\":2,\"code\":\"USD\"},\"otherChoiceValue\":\"Other\",\"isFormTrash\":false,\"currentlyAddingField\":false,\"visibilityOptions\":[{\"label\":\"Visible\",\"value\":\"visible\",\"description\":\"Default option. The field is visible when viewing the form.\"},{\"label\":\"Hidden\",\"value\":\"hidden\",\"description\":\"The field is hidden when viewing the form. Useful when you require the functionality of this field but do not want the user to be able to see this field.\"},{\"label\":\"Administrative\",\"value\":\"administrative\",\"description\":\"The field is only visible when administering submitted entries. The field is not visible or functional when viewing the form.\"}],\"addFieldFilter\":\"Add a condition\",\"removeFieldFilter\":\"Remove a condition\",\"filterAndAny\":\"{0} of the following match:\",\"customChoices\":\"Custom Choices\",\"predefinedChoices\":\"Predefined Choices\",\"fieldLabelAriaLabel\":\"{field_label} - {field_type}, jump to this field&#039;s settings\",\"fieldCanBeAddedTitle\":\"Field Limit\",\"fieldCanBeAddedCaptcha\":\"A form can only contain one CAPTCHA field.\",\"fieldCanBeAddedShipping\":\"A form can only contain one Shipping field.\",\"fieldCanBeAddedPostContent\":\"A form can only contain one Post Body field.\",\"fieldCanBeAddedPostTitle\":\"A form can only contain one Post Title field.\",\"fieldCanBeAddedPostExcerpt\":\"A form can only contain one Post Excerpt field.\",\"fieldCanBeAddedCreditCard\":\"A form can only contain one Credit Card field.\",\"fieldCanBeAddedProductTitle\":\"Missing Product field\",\"fieldCanBeAddedProduct\":\"You must add a Product field to the form first.\",\"legacyMarkupTitle\":\"Unsupported Markup\",\"fieldCanBeAddedMultipleChoice\":\"You cannot add a Multiple Choice field to a form that uses legacy markup. Please edit the form settings and turn off Legacy Markup.\",\"fieldCanBeAddedImageChoice\":\"You cannot add an Image Choice field to a form that uses legacy markup. Please edit the form settings and turn off Legacy Markup.\",\"FieldAjaxonErrorTitle\":\"Error\",\"StartAddFieldAjaxonError\":\"Ajax error while adding field. Please refresh the page and try again.\",\"StartChangeInputTypeAjaxonError\":\"Ajax error while changing input type. Please refresh the page and try again.\",\"MissingNameCustomChoicesTitle\":\"Missing Name\",\"MissingNameCustomChoices\":\"Please give this custom choice a name.\",\"DuplicateNameCustomChoicesTitle\":\"Duplicate Name\",\"DuplicateNameCustomChoices\":\"This custom choice name is already in use. Please enter another name.\",\"DuplicateTitleMessageTitle\":\"Duplicate Title\",\"DuplicateTitleMessage\":\"The form title you have entered is already taken. Please enter a unique form title.\",\"ValidateFormMissingFormTitleTitle\":\"Missing Form Title\",\"ValidateFormMissingFormTitle\":\"Please enter a Title for this form. When adding the form to a page or post, you will have the option to hide the title.\",\"ValidateFormEmptyPageTitle\":\"Empty Page\",\"ValidateFormEmptyPage\":\"This form currently has one or more pages without any fields. Blank pages are a result of Page Breaks that are positioned as the first or last field in the form or right after each other. Please adjust the Page Breaks.\",\"ValidateFormMissingProductLabelTitle\":\"Missing Product Label\",\"ValidateFormMissingProductLabel\":\"This form has a Product field with a blank label. Please enter a label for every Product field.\",\"ValidateFormMissingProductFieldTitle\":\"Missing Product field\",\"ValidateFormMissingProductField\":\"This form has an Option field without a Product field. You must add a Product field to your form.\",\"FormulaIsValidTitle\":\"Success\",\"FormulaIsValid\":\"The formula appears to be valid.\",\"FormulaIsInvalid\":\"There appears to be a problem with the formula.\",\"DeleteFormTitle\":\"Confirm\",\"DeleteForm\":\"You are about to move this form to the trash. &#039;Cancel&#039; to abort. &#039;OK&#039; to delete.\",\"DeleteCustomChoice\":\"Delete this custom choice list? &#039;Cancel&#039; to abort. &#039;OK&#039; to delete.\",\"FieldAdded\":\"&nbsp;field added to form\",\"nameFieldDefaultPrefixes\":[{\"text\":\"Dr.\",\"value\":\"Dr.\"},{\"text\":\"Miss\",\"value\":\"Miss\"},{\"text\":\"Mr.\",\"value\":\"Mr.\"},{\"text\":\"Mrs.\",\"value\":\"Mrs.\"},{\"text\":\"Ms.\",\"value\":\"Ms.\"},{\"text\":\"Mx.\",\"value\":\"Mx.\"},{\"text\":\"Prof.\",\"value\":\"Prof.\"},{\"text\":\"Rev.\",\"value\":\"Rev.\"}]};\t\t\t<\/script>\n\n            <script type=\"text\/javascript\">\n                \/* EA Gravity Forms - ensure GF's per-form post-render event dispatches\n                 * even when the widget's render context prevents GF's standard\n                 * GFFormDisplay::footer_init_scripts() per-form trigger from executing.\n                 * Without this, third-party GF add-ons (e.g. Gravity Forms reCAPTCHA\n                 * Add-On v2.2.2+) that hook into `gform\/post_render` to register\n                 * submission filters will never fire, breaking v3 token population.\n                 *\/\n                ( function () {\n                    var formId = 26;\n                    if ( typeof window.gform === 'undefined'\n                         || typeof window.gform.initializeOnLoaded !== 'function' ) {\n                        return;\n                    }\n                    window.gform.initializeOnLoaded( function () {\n                        var flag = '__eaelGfPostRenderFired_' + formId;\n                        if ( window[ flag ] ) { return; }\n                        if ( window.gform && window.gform.core\n                             && typeof window.gform.core.triggerPostRenderEvents === 'function' ) {\n                            window[ flag ] = true;\n                            window.gform.core.triggerPostRenderEvents( formId, 1 );\n                        }\n                    } );\n                } )();\n            <\/script>\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>&quot;*&quot; indicates required fields Contact Information Prefix*&#8212;Mr.Ms.Mrs.Prefer not to identifyProfessorDr.FatherSisterRabbiReverendAir Force &#8211; GeneralAir Force &#8211; Lieutenant GeneralAir Force &#8211; Major GeneralAir Force &#8211; Brigadier GeneralAir Force &#8211; ColonelAir Force &#8211; Lieutenant ColonelAir Force &#8211; MajorAir Force &#8211; CaptainAir Force &#8211; First LieutenantAir Force &#8211; Second LieutenantAir Force &#8211; Chief Master Sergeant of the Air ForceAir [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":24466,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-31029","page","type-page","status-publish","hentry"],"acf":{"image":"","show_image":false,"blurb":"","blurb_overline":"","hide_default_heading":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Immigration &amp; Citizenship Privacy Release Form - Senator Catherine Cortez Masto<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Immigration &amp; Citizenship Privacy Release Form - Senator Catherine Cortez Masto\" \/>\n<meta property=\"og:description\" content=\"&quot;*&quot; indicates required fields Contact Information Prefix*&#8212;Mr.Ms.Mrs.Prefer not to identifyProfessorDr.FatherSisterRabbiReverendAir Force &#8211; GeneralAir Force &#8211; Lieutenant GeneralAir Force &#8211; Major GeneralAir Force &#8211; Brigadier GeneralAir Force &#8211; ColonelAir Force &#8211; Lieutenant ColonelAir Force &#8211; MajorAir Force &#8211; CaptainAir Force &#8211; First LieutenantAir Force &#8211; Second LieutenantAir Force &#8211; Chief Master Sergeant of the Air ForceAir [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/\" \/>\n<meta property=\"og:site_name\" content=\"Senator Catherine Cortez Masto\" \/>\n<meta property=\"article:modified_time\" content=\"2023-09-06T19:40:18+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/help\\\/help-with-a-federal-agency\\\/immigration-citizenship\\\/form\\\/\",\"url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/help\\\/help-with-a-federal-agency\\\/immigration-citizenship\\\/form\\\/\",\"name\":\"Immigration & Citizenship Privacy Release Form - Senator Catherine Cortez Masto\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#website\"},\"datePublished\":\"2023-09-06T19:38:40+00:00\",\"dateModified\":\"2023-09-06T19:40:18+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/help\\\/help-with-a-federal-agency\\\/immigration-citizenship\\\/form\\\/#breadcrumb\"},\"inLanguage\":\"es-ES\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/help\\\/help-with-a-federal-agency\\\/immigration-citizenship\\\/form\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/help\\\/help-with-a-federal-agency\\\/immigration-citizenship\\\/form\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Helping You\",\"item\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/help\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Help With A Federal Agency\",\"item\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/help\\\/help-with-a-federal-agency\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Immigration &#038; Citizenship\",\"item\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/help\\\/help-with-a-federal-agency\\\/immigration-citizenship\\\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Immigration &#038; Citizenship Privacy Release Form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#website\",\"url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/\",\"name\":\"Senator Catherine Cortez Masto\",\"description\":\"U.S. Senator Catherine Cortez Masto of Nevada\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es-ES\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#organization\",\"name\":\"Senator Catherine Cortez Masto\",\"url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es-ES\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/CCM_Logo_Primary.svg\",\"contentUrl\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/CCM_Logo_Primary.svg\",\"width\":1200,\"height\":626,\"caption\":\"Senator Catherine Cortez Masto\"},\"image\":{\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Immigration & Citizenship Privacy Release Form - Senator Catherine Cortez Masto","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/","og_locale":"es_ES","og_type":"article","og_title":"Immigration & Citizenship Privacy Release Form - Senator Catherine Cortez Masto","og_description":"&quot;*&quot; indicates required fields Contact Information Prefix*&#8212;Mr.Ms.Mrs.Prefer not to identifyProfessorDr.FatherSisterRabbiReverendAir Force &#8211; GeneralAir Force &#8211; Lieutenant GeneralAir Force &#8211; Major GeneralAir Force &#8211; Brigadier GeneralAir Force &#8211; ColonelAir Force &#8211; Lieutenant ColonelAir Force &#8211; MajorAir Force &#8211; CaptainAir Force &#8211; First LieutenantAir Force &#8211; Second LieutenantAir Force &#8211; Chief Master Sergeant of the Air ForceAir [&hellip;]","og_url":"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/","og_site_name":"Senator Catherine Cortez Masto","article_modified_time":"2023-09-06T19:40:18+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/","url":"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/","name":"Immigration & Citizenship Privacy Release Form - Senator Catherine Cortez Masto","isPartOf":{"@id":"https:\/\/www.cortezmasto.senate.gov\/#website"},"datePublished":"2023-09-06T19:38:40+00:00","dateModified":"2023-09-06T19:40:18+00:00","breadcrumb":{"@id":"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/#breadcrumb"},"inLanguage":"es-ES","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/form\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.cortezmasto.senate.gov\/"},{"@type":"ListItem","position":2,"name":"Helping You","item":"https:\/\/www.cortezmasto.senate.gov\/help\/"},{"@type":"ListItem","position":3,"name":"Help With A Federal Agency","item":"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/"},{"@type":"ListItem","position":4,"name":"Immigration &#038; Citizenship","item":"https:\/\/www.cortezmasto.senate.gov\/help\/help-with-a-federal-agency\/immigration-citizenship\/"},{"@type":"ListItem","position":5,"name":"Immigration &#038; Citizenship Privacy Release Form"}]},{"@type":"WebSite","@id":"https:\/\/www.cortezmasto.senate.gov\/#website","url":"https:\/\/www.cortezmasto.senate.gov\/","name":"Senator Catherine Cortez Masto","description":"U.S. Senator Catherine Cortez Masto of Nevada","publisher":{"@id":"https:\/\/www.cortezmasto.senate.gov\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.cortezmasto.senate.gov\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es-ES"},{"@type":"Organization","@id":"https:\/\/www.cortezmasto.senate.gov\/#organization","name":"Senator Catherine Cortez Masto","url":"https:\/\/www.cortezmasto.senate.gov\/","logo":{"@type":"ImageObject","inLanguage":"es-ES","@id":"https:\/\/www.cortezmasto.senate.gov\/#\/schema\/logo\/image\/","url":"https:\/\/www.cortezmasto.senate.gov\/wp-content\/uploads\/2023\/02\/CCM_Logo_Primary.svg","contentUrl":"https:\/\/www.cortezmasto.senate.gov\/wp-content\/uploads\/2023\/02\/CCM_Logo_Primary.svg","width":1200,"height":626,"caption":"Senator Catherine Cortez Masto"},"image":{"@id":"https:\/\/www.cortezmasto.senate.gov\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages\/31029","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/comments?post=31029"}],"version-history":[{"count":4,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages\/31029\/revisions"}],"predecessor-version":[{"id":43021,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages\/31029\/revisions\/43021"}],"up":[{"embeddable":true,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages\/24466"}],"wp:attachment":[{"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/media?parent=31029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}