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DEVELOPMENTAL DISABILITIES ADMINISTRATION (DDA)DDA Authorization for Release of Referral Video Authorization for Publishing Information about: NAME: LASTFIRSTMAILING ADDRESSMIDDLECITYDATE OF BIRTHTELPHONE
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Visit the website www.dshs.wa.gov/node/34420dda
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Fill out your personal information accurately, including your full name, date of birth, and contact information
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Specify the information you are authorizing to be released and to whom it should be released
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Who needs wwwdshswagovnode34420dda authorization for release?

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Individuals seeking to authorize the release of their personal information to a specific entity or individual
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The wwwdshswagovnode34420dda authorization for release is a form that allows the release of specific information to designated individuals or entities.
The wwwdshswagovnode34420dda authorization for release must be filed by individuals or entities seeking to release information to specific recipients.
To fill out the wwwdshswagovnode34420dda authorization for release, individuals or entities must provide detailed information about the information being released and the designated recipients.
The purpose of wwwdshswagovnode34420dda authorization for release is to ensure that sensitive information is only released to authorized individuals or entities.
The wwwdshswagovnode34420dda authorization for release must include details about the information being released, the purpose of the release, and the designated recipients.
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