Bureau of Synthetic Companions — Rev. 04/2024 — Page 1 of 1
INSTRUCTIONS: Complete all fields marked with an asterisk (*).
Fields marked with a dagger (†) are optional but strongly encouraged by the Bureau.
Incomplete forms will be returned. The Bureau is not responsible for forms lost in transit.
Do not use red ink. Do not fold. Do not staple. Do not submit Form CIN-1 before reading Form CIN-1.
BSC ASSISTANT:
BUREAU NOTIFICATION — AUTOMATIC REFERRAL TRIGGERED
Based on your registration selections, your profile has been automatically forwarded to the office of Representative D. Weinfeld (District 14-GDL, Synthetic Companions Oversight Subcommittee). Representative Weinfeld has expressed a personal interest in your unit classification. His office will be in touch. This is not optional. You did not opt in to this. You did, however, select the combination that triggers it.
To remove your profile from Representative Weinfeld's referral list, submit Form CIN-POL-1. Form CIN-POL-1 requires notarization and a $220 processing fee. The address for the fee is issued on Form CIN-POL-1-ADDR.
PRIVACY NOTICE: The name, the answers, and the email address are used to issue the number and to send the certificate. If you check the notice box, the same address is also used for story updates and Authority announcements, which you can stop. The certificate is sent either way. The desk keeps the filing on this computer so the same address is not given a second number.