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Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Transitional Assistance 600 Washington Street y Boston MA 02111 MITT ROMNEY TIMOTHY MURPHY Governor Secretary KERRY HEALEY JOHN A. WAGNER Lieutenant Governor Commissioner Field Operations Memo 2005-49 October 3 2005 To Transitional Assistance Office Staff From Cescia Derderian Assistant Commissioner for Field Operations Re Voluntary Authorization to Release Information Form Overview A new form has been...
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What is voluntary authorization to release?
Voluntary authorization to release is a written consent given by an individual allowing the disclosure of their personal information to a specific party.
Who is required to file voluntary authorization to release?
Any individual who wants to authorize the release of their personal information to a third party is required to file voluntary authorization to release.
How to fill out voluntary authorization to release?
To fill out voluntary authorization to release, the individual needs to provide their personal information, specify the recipient of the information, and sign the document.
What is the purpose of voluntary authorization to release?
The purpose of voluntary authorization to release is to allow individuals to control who can access their personal information and to protect their privacy.
What information must be reported on voluntary authorization to release?
The information that must be reported on voluntary authorization to release includes the individual's name, contact information, the recipient's name and contact information, and the specific information being disclosed.
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