---
sourceDocument: Australia Public Sector
sourceDocumentLink: https://servicenow-prod.fluidtopics.net/r/pt-BR/government-industry

 Release :

    - australia

ft:locale :

    - pt-BR

ft:publication_title :

    - Australia Public Sector

ft:clusterId :

    - gvin

bundleId :

    - gvin

workflow :

    - Customer and Industry


---

# Constituent Profile form

# Constituent Profile form {#ariaid-title1}

* Versão de lançamento: Australia
* 
* Atualizado 12 de mar. de 2026
* 
* ![](https://www.servicenow.com/docs/portal-asset/ico-clock) 2 min. de leitura

Use the Constituent Profile form in the Public Sector Digital Services application to display detailed information about a constituent, such as the name and address, date of birth, contact information, and language choice.
The following table describes the detailed information that you can add to the Constituent form.  
{#government-service-constituent-form__table_ut3_b5r_crb__entry__2}

| Field | Description |
|-|-|
| Consumer reference | Reference number for the constituent case. |
| First name | First name. |
| Last name | Last name. |
| Middle name | Middle name. |
| Number | Phone number of the constituent. |
| Suffix | Suffix of the constituent name. The suffix may include MD or Jr. |
| Mobile phone | Mobile phone number for the constituent. |
| Business phone | Business phone number for the constituent. |
| Fax | Fax number. |
| Photo | Photo of the constituent. |
| Email | Email of the constituent. |
| Gender | Gender of the constituent. |
| Date of birth | Date of birth of the constituent. |
| Country of birth | Country of birth of the constituent. |
| Age | Age of the constituent. |
| Identification Information ||
| Primary identification type | Type of primary identification: * Social Security Number * State Identification Number * Drivers License Number * Medicare ID {#government-service-constituent-form__ul_s2l_hjg_2sb} |
| Identification field | Type of identification. This field appears only when an option is selected from the Primary identification type field. * Social Security Number * State Identification Number * Drivers License Number * Medicare ID {#government-service-constituent-form__ul_r4x_sjg_2sb} |
| Primary correspondence Information ||
| Primary address type | Type of primary address for the constituent: * Home address * Business address * Mailing address {#government-service-constituent-form__ul_yxy_kbq_dsb} |
| Street | Street of the constituent. |
| City | City that the constituent lives in. |
| State/Province | State in which the constituent lives. |
| ZIP/Postal code | ZIP code for the address of the constituent. |
| Latitude | Latitude of the address of the constituent. |
| Longitude | Longitude of the address of the constituent. |
| Primary phone number | Primary phone number of the constituent. |
| Additional information ||
| Marital status | * Married * Single * Divorced * Widowed * I do not wish to provide this information {#government-service-constituent-form__ul_kyv_dkg_2sb} |
| Employment status | * Employed * Unemployed * Self employed * I do not wish to provide this information {#government-service-constituent-form__ul_hww_fkg_2sb} |
| Race | * American Indian or Alaska Native * Asian * Native Hawaiian or other Pacific Islander * Black or African American * White * I do not wish to provide this information {#government-service-constituent-form__ul_bwz_hkg_2sb} |
| Ethnicity | * Hispanic or Latino * Not Hispanic or Latino * I do not wish to provide this information {#government-service-constituent-form__ul_elb_lkg_2sb} |
| Military status | * Active duty * Veteran * No military duty * I do not wish to provide this information {#government-service-constituent-form__ul_csg_nkg_2sb} |
| Disability status | * Yes, I have a disability * No, I do not have a disability * I do not wish to provide this information {#government-service-constituent-form__ul_qs5_4kg_2sb} |
| Highest education level | * High school or equivalent * Technical or occupational certificate * Associate degree * Some college coursework completed * Bachelor's degree * Master's degree * Doctorate * Professional * Other {#government-service-constituent-form__ul_zkn_qkg_2sb} |
| Primary language choice | * English * Spanish {#government-service-constituent-form__ul_iwz_tkg_2sb} |
| Notes ||
| Notes | Additional notes about the constituent or the case. |
[Tabela 1. Agency Service Constituent form]

{#government-service-constituent-form__table_ut3_b5r_crb}