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DEPARTMENT OF HOMELAND SECURITYReport Control Number. S. Coast Guard RCN 175 FAMILY ADVOCACY PROGRAM AUTHORIZATION TO RELEASE INFORMATION PRIVACY ACT STATEMENT AUTHORITY: PRINCIPAL PURPOSE: ROUTINE
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How to fill out family adovacy program authorization

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How to fill out family adovacy program authorization

01
Obtain the necessary forms from the family advocacy program office.
02
Fill out the personal information section with your name, address, contact information, and relationship to the person seeking services.
03
Provide information about your family member or client, including their name, date of birth, and any relevant medical or social history.
04
Sign and date the authorization form, agreeing to allow the family advocacy program to provide services to the person listed.

Who needs family adovacy program authorization?

01
Individuals seeking services from the family advocacy program.
02
Family members or legal guardians of individuals seeking services.
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Family advocacy program authorization is a form or document that grants permission for a family advocacy program to provide services.
All organizations or agencies running family advocacy programs are required to file family advocacy program authorization.
Family advocacy program authorization can be filled out by providing relevant information about the program and signing the document.
The purpose of family advocacy program authorization is to ensure that the program is authorized to provide services and to protect the rights of the individuals receiving services.
Family advocacy program authorization must include details about the program, services provided, contact information, and any relevant signatures.
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