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LENAPE ENTERTAINMENT LLC AUTHORIZATION FOR RELEASE OF INFORMATION FOR W2-G Name Date of Birth Address SSN City/State/Zip Phone Email Address I hereby authorize Lenape Entertainment LLC to release my W2-G information to Name of Person Entity or Facility Fax Email Name of Casino or Casinos check all that apply Casino Oklahoma Hinton Oklahoma Gold River Casino Anadarko Oklahoma Method of return Standard Mail Year of W2-G being requested I understand that the information I have authorized the...
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How to fill out authorization for release of
How to fill out authorization for release of
01
Read the authorization form carefully to understand its requirements.
02
Provide your personal information, such as name, address, and contact details.
03
Specify the purpose of the release of information.
04
Indicate the specific information or records you are authorizing to be released.
05
Include any limitations or restrictions on the release of information if applicable.
06
Sign and date the authorization form.
07
Submit the completed form to the appropriate recipient or organization.
Who needs authorization for release of?
01
Individuals who want their personal information or records to be released to a specific person or organization.
02
Patients who want their medical records to be shared with another healthcare provider.
03
Clients who want their financial information to be shared with their chosen financial advisor.
04
Employees who want their employment records to be released to a potential employer.
05
Students who want their academic records to be shared with another educational institution.
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