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Get the free Affidavit and Authorization for Release of InformationIowa ... - medicalboard iowa

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IOWA BOARD OF MEDICINE 400 S.W. 8th Street, Suite C, Des Moines, IA 503094686 (515) 2816641 www.medicalboard.iowa.gov VERIFICATION OF GENETIC COUNSELOR LICENSE/REGISTRATION/ & OTHER PROFESSIONAL LICENSE
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Affidavit and authorization is typically used to provide written confirmation of certain facts or to grant permission or consent to someone else to act on behalf of the individual signing the document.
Individuals who need to confirm certain facts or grant permission to another party may be required to file an affidavit and authorization.
To fill out an affidavit and authorization, individuals should carefully read the document, provide accurate information, sign and date the document in the presence of a notary if required.
The purpose of an affidavit and authorization is to provide written confirmation of facts or grant permission or consent to another party to act on behalf of the individual.
The information required on an affidavit and authorization may vary depending on the specific circumstances but generally includes personal information, details of facts being affirmed, and the purpose of the authorization.
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