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Iowa Department of Human ServicesAuthorization for Release of Child and Dependent Adult Abuse Information This form must be used to authorize release of child or dependent adult abuse information

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How to fill out 470-3301 authorization for release

01

Start by entering the name of the individual or organization releasing the information in the 'Released by' section.

02

Provide the name of the person or organization receiving the information in the 'Released to' section.

03

Specify the type of information being released in the 'Information to be Released' section.

04

Include the reason for the release of information in the 'Purpose' section.

05

Indicate the date of authorization and have the individual or authorized representative sign and date in the 'Authorized Signature and Date' section.

Who needs 470-3301 authorization for release?

01

Individuals or organizations who need to release confidential information to another party.

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What is 470-3301 authorization for release?

The 470-3301 authorization for release is a form that allows the release of specified information to authorized individuals or entities.

Who is required to file 470-3301 authorization for release?

Individuals or entities who wish to release information to specified recipients are required to file 470-3301 authorization for release.

How to fill out 470-3301 authorization for release?

To fill out 470-3301 authorization for release, one must provide the necessary information about the release of information and specify the authorized recipients.

What is the purpose of 470-3301 authorization for release?

The purpose of 470-3301 authorization for release is to ensure that information is released only to authorized individuals or entities.

What information must be reported on 470-3301 authorization for release?

The information that must be reported on 470-3301 authorization for release includes the details of the information being released and the authorized recipients.

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