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This agency is requesting disclosure of your Social Security number in accordance with IC 21-14-4-1 and IC 21-14-4-2 disclosure is mandatory and this record cannot be processed without it. Reset Form REQUEST AND CONSENT FOR MILITARY DISCHARGE PAPERS INDIANA STATE ARCHIVES th 6440 E. 30 Street Indianapolis IN 46219 State Form 54599 1-11 Please return form to address above. The execution of this form does not authorize the release of information other than specifically described. Disclosure is...
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What is request and consent for?
Request and consent is a form used to authorize the release of personal information to a specified individual or organization.
Who is required to file request and consent for?
Individuals who wish to authorize the release of their personal information to a specified individual or organization are required to file request and consent for.
How to fill out request and consent for?
To fill out request and consent, one must provide their personal information, specify the recipient of the information, and sign the form to authorize the release of information.
What is the purpose of request and consent for?
The purpose of request and consent is to ensure that personal information is released only with the individual's explicit authorization.
What information must be reported on request and consent for?
Request and consent form typically requires personal information such as name, contact details, and identification number, as well as details of the recipient and purpose of information release.
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