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AUTHORIZATION TO RELEASE DEPARTMENT OF CORRECTIONS RECORD INFORMATION I, / / Name DOC # SS# DOB do hereby consent to the disclosure by: (Name or title of person or organization and address by which
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This document is a form used for reporting financial information to the appropriate authorities.
Individuals or organizations that meet the criteria set by the regulatory body are required to file this form.
The form should be filled out accurately and completely, following the instructions provided by the regulatory body.
The purpose of this document is to ensure transparency and compliance with financial regulations.
The form typically requires reporting of financial transactions, assets, liabilities, and other relevant financial information.
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