---
title: Constituent Profile form
description: 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.
locale: en-US
canonical_url: https://www.servicenow.com/docs/r/government-industry/government-service-constituent-form.html
release: australia
topic_type: reference
last_updated: "2026-03-12"
reading_time_minutes: 2
breadcrumb: [Public Service Profile Forms, Forms, Reference, Public Sector Digital Services \(PSDS\)]
---

# Constituent Profile form

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.

<table id="table_ut3_b5r_crb"><thead><tr><th>

Field

</th><th>

Description

</th></tr></thead><tbody><tr><td>

Consumer reference

</td><td>

Reference number for the constituent case.

</td></tr><tr><td>

First name

</td><td>

First name.

</td></tr><tr><td>

Last name

</td><td>

Last name.

</td></tr><tr><td>

Middle name

</td><td>

Middle name.

</td></tr><tr><td>

Number

</td><td>

Phone number of the constituent.

</td></tr><tr><td>

Suffix

</td><td>

Suffix of the constituent name. The suffix may include MD or Jr.

</td></tr><tr><td>

Mobile phone

</td><td>

Mobile phone number for the constituent.

</td></tr><tr><td>

Business phone

</td><td>

Business phone number for the constituent.

</td></tr><tr><td>

Fax

</td><td>

Fax number.

</td></tr><tr><td>

Photo

</td><td>

Photo of the constituent.

</td></tr><tr><td>

Email

</td><td>

Email of the constituent.

</td></tr><tr><td>

Gender

</td><td>

Gender of the constituent.

</td></tr><tr><td>

Date of birth

</td><td>

Date of birth of the constituent.

</td></tr><tr><td>

Country of birth

</td><td>

Country of birth of the constituent.

</td></tr><tr><td>

Age

</td><td>

Age of the constituent.

</td></tr><tr><td class="sub-head" colspan="2">

Identification Information

</td></tr><tr><td>

Primary identification type

</td><td>

Type of primary identification:-   Social Security Number
-   State Identification Number
-   Drivers License Number
-   Medicare ID

</td></tr><tr><td>

Identification field

</td><td>

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

</td></tr><tr><td class="sub-head" colspan="2">

Primary correspondence Information

</td></tr><tr><td>

Primary address type

</td><td>

Type of primary address for the constituent: -   Home address
-   Business address
-   Mailing address

</td></tr><tr><td>

Street

</td><td>

Street of the constituent.

</td></tr><tr><td>

City

</td><td>

City that the constituent lives in.

</td></tr><tr><td>

State/Province

</td><td>

State in which the constituent lives.

</td></tr><tr><td>

ZIP/Postal code

</td><td>

ZIP code for the address of the constituent.

</td></tr><tr><td>

Latitude

</td><td>

Latitude of the address of the constituent.

</td></tr><tr><td>

Longitude

</td><td>

Longitude of the address of the constituent.

</td></tr><tr><td>

Primary phone number

</td><td>

Primary phone number of the constituent.

</td></tr><tr><td class="sub-head" colspan="2">

Additional information

</td></tr><tr><td>

Marital status

</td><td>

-   Married
-   Single
-   Divorced
-   Widowed
-   I do not wish to provide this information

</td></tr><tr><td>

Employment status

</td><td>

-   Employed
-   Unemployed
-   Self employed
-   I do not wish to provide this information

</td></tr><tr><td>

Race

</td><td>

-   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

</td></tr><tr><td>

Ethnicity

</td><td>

-   Hispanic or Latino
-   Not Hispanic or Latino
-   I do not wish to provide this information

</td></tr><tr><td>

Military status

</td><td>

-   Active duty
-   Veteran
-   No military duty
-   I do not wish to provide this information

</td></tr><tr><td>

Disability status

</td><td>

-   Yes, I have a disability
-   No, I do not have a disability
-   I do not wish to provide this information

</td></tr><tr><td>

Highest education level

</td><td>

-   High school or equivalent
-   Technical or occupational certificate
-   Associate degree
-   Some college coursework completed
-   Bachelor's degree
-   Master's degree
-   Doctorate
-   Professional
-   Other

</td></tr><tr><td>

Primary language choice

</td><td>

-   English
-   Spanish

</td></tr><tr><td class="sub-head" colspan="2">

Notes

</td></tr><tr><td>

Notes

</td><td>

Additional notes about the constituent or the case.

</td></tr></tbody>
</table>**Parent Topic:**[Public Sector Digital Services Core Profile Forms](https://raw.githubusercontent.com/ServiceNow/ServiceNowDocs/australia/markdown/government-industry/psds-profile-forms.md)