The Chilean agencies use Form CHI/USA 3 to:

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  Transmit material to DIO or to the FSP in Buenos Aires, Argentina

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  Send information to DIO or to the FSP, and

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  Request information from DIO.

The Form CHI/USA 3 has the same format and entries as the SSA-2960-CHI. Following are the two main differences:

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  The address blocks in the “TO” and “FROM” sections are reversed, and

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  The item for status of the U.S. claim is not shown.

If a Chilean liaison agency requests information, make sure that the requirements of the Privacy Act are met. Return any request (without the requested information) unless:

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  The request indicates that the information is needed to process a claim under the agreement,

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  The agency has provided the claimant's written consent for SSA to disclose information, or

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  The file contains a Form SSA-2490-BK that is signed by the claimant.