Any individual who has reviewed a record pertaining to himself or herself may request the Executive Director to correct or amend all or any part of the record.
Each request for a correction or amendment of a record shall be in writing and shall contain the following information:
The name of the individual requesting the correction or amendment;
The name or other description of the system of records in which the record sought to be amended is maintained;
The location of that record in the system of records to the extent that it is known;
A copy of the record sought to be amended or a description of that record;
A statement of the material in the record that should be corrected or amended;
A statement of the specific wording of the correction or amendment sought; and
A statement of the basis for the requested correction or amendment including any material that the individual can furnish to substantiate the reasons for the amendment sought.