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Authorization for the Release of Information Agency requesting release of information: Johnson County Human Services Housing Services Department 12425 West 87th Street Parkway, Suite 200 Lenexa, KS
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How to fill out authorization for form release
How to fill out authorization for form release
01
Read the instructions on the authorization form carefully.
02
Fill in your full name, address, and contact information in the designated fields.
03
Provide the name and contact information of the person or organization you are authorizing to release the form.
04
Specify the purpose for which the form release is authorized.
05
Sign and date the authorization form in the appropriate places.
06
Make a copy of the completed authorization form for your records.
Who needs authorization for form release?
01
Anyone who wants someone else or an organization to release a form on their behalf needs authorization for form release.
02
This can be applicable in various situations such as medical records release, legal document release, or educational record release.
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