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To: All Juniors Class of 2021 From: Mrs. Shaffer, Guidance Counselor Subject: Authorization to Release Residence Data Date: September 13, 2019, The Commonwealth of Pennsylvania now has a law that
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Obtain the authorization to release date form from the organization or provider.
02
Fill in your personal information such as name, address, date of birth, and contact information.
03
Specify the information being released and to whom it is being released to.
04
Sign and date the form to confirm your consent.
05
Make a copy of the completed form for your records before submitting it to the organization or provider.

Who needs authorization to release date?

01
Anyone who wishes to authorize the release of their date to a specific individual or organization needs an authorization to release date.
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Authorization to release date is a document that gives permission to disclose certain information to a specified party.
Individuals or organizations seeking to share information with a third party are required to file authorization to release date.
Authorization to release date can be filled out by providing the required information about the parties involved and the information to be disclosed.
The purpose of authorization to release date is to ensure that sensitive information is only disclosed with the consent of the parties involved.
The authorization to release date must include the name of the disclosing party, the name of the receiving party, the information to be disclosed, and the duration of the authorization.
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