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PERMISSION TO RELEASE EDUCATION RECORD INFORMATION One Stop Student Services onestop@cwidaho.cc 208.562.3000 phone 888.562.3216 fax P.O. Box 3010 Nampa, ID 83653 www.cwidaho.cc Use this form to authorize
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01
Obtain the privacy release of info form from the organization requesting the information.
02
Fill out your personal information such as name, address, date of birth, and contact information.
03
Specify the information you are authorizing to be released and to whom it will be released.
04
Sign and date the form in the presence of a witness or notary public.
05
Submit the completed form to the organization or individual requesting the information.

Who needs privacy release of info?

01
Individuals who want to authorize the release of their personal information to a third party.
02
Healthcare providers who need to share patient information with other healthcare professionals or organizations.
03
Employers who need to verify an employee's background or employment history.
04
Schools or educational institutions that need to disclose student records to authorized individuals or organizations.
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A privacy release of information is a legal document that allows an individual to permit or deny the sharing of their personal information with others, typically to comply with privacy laws and regulations.
Individuals or entities that handle personal information, such as healthcare providers, employers, or educational institutions, may be required to file a privacy release of info when disclosing sensitive data.
To fill out a privacy release of info, individuals should provide their personal details, specify the information being released, indicate to whom it is being released, and sign and date the document.
The purpose of a privacy release of info is to ensure that individuals have control over their personal information and to comply with laws that protect privacy and prevent unauthorized access or disclosure.
Information reported typically includes the individual's name, contact information, the specific documents or data being released, the purpose for the release, and the names of individuals or organizations receiving the information.
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