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AUTHORIZATION FOR RELEASE OF TAX INFORMATION Excise Tax Administration, Room 217 Arkansas Department of Finance and Administration P. O. Box 8054 Little Rock, Arkansas 722038054 Telephone: (501) 6827200

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How to fill out authorization for release of

01

Step 1: Start by obtaining the authorization form for release of information from the concerned organization or institution.

02

Step 2: Read the instructions and requirements on the form carefully to ensure you understand the process fully.

03

Step 3: Provide your personal information including your full name, date of birth, address, and any other required identification details.

04

Step 4: Specify the type and scope of information you are authorizing the release of. Be clear about what information can be shared and by whom.

05

Step 5: If applicable, indicate the specific purpose for which the information is being released. This can be important for ensuring the information is used appropriately.

06

Step 6: Sign and date the form, indicating your consent for the release of information.

07

Step 7: Submit the completed form as instructed, ensuring you retain a copy for your records if necessary.

08

Step 8: Follow up with the concerned organization or institution to confirm the processing and release of the authorized information if required.

Who needs authorization for release of?

01

Authorization for release of information may be required by individuals or organizations who need access to someone else's private information.

02

Common instances where authorization for release of information is needed include medical records release for healthcare providers, background check authorization for employers, and student records release for educational institutions.

03

It is important to note that the need for authorization may vary depending on the specific laws, regulations, and policies governing the release of information in different jurisdictions and contexts.

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