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CONSENT TO RELEASE RECORD(S) DRIVER NAME: DRIVER SERVICES POLICY: 6-9(A) DL NO. DOB: By signing below, I voluntarily give consent to the Mississippi Department of Public Safety to release the following

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What is consent to release records?

Consent to release records is a form that allows an individual to authorize the disclosure of their personal information to a specified third party.

Who is required to file consent to release records?

Any individual who wishes to have their records released to a third party is required to file consent to release records.

How to fill out consent to release records?

Consent to release records can be filled out by providing personal information, specifying the recipient of the information, and signing the form.

What is the purpose of consent to release records?

The purpose of consent to release records is to ensure that personal information is only disclosed to authorized individuals or organizations.

What information must be reported on consent to release records?

Consent to release records typically requires information such as the individual's name, date of birth, the information to be released, and the recipient of the information.

Where do I find consent to release records?

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