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1202 State Street Erie, PA 16501 (814) 4557222 (814) 4534857 (Fax)***If record is more than 25 pages, please mail*** AUTHORIZATION FOR USE/DISCLOSURE OF PROTECTED HEALTH INFORMATION (PHI) I hereby
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How to fill out transfers and attorneys only

01
Make sure you have the necessary information of the transferor and the attorney, such as their full name, contact information, and identification details.
02
Fill out the transfer form with accurate and complete information of both parties, including the date of transfer, purpose of transfer, and any conditions or restrictions.
03
Obtain signatures from both the transferor and the attorney on the form, along with any witnesses if required.
04
Submit the completed form to the relevant authority or organization for processing and approval.

Who needs transfers and attorneys only?

01
Transfers and attorneys only are needed by individuals or entities who are transferring legal rights, assets, or responsibilities to another party, and who require legal representation or assistance in the transfer process.
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Transfers and attorneys only is a designation used in legal and financial contexts to describe transactions or matters that are conducted specifically by attorneys or that involve the transfer of legal rights and responsibilities.
Typically, attorneys who are handling specific legal transactions or transfers on behalf of a client are required to file transfers and attorneys only.
To fill out transfers and attorneys only, one should complete the required forms by providing all necessary details such as the names of the parties involved, the nature of the transfer, and relevant case numbers, then submit it to the appropriate legal authority.
The purpose of transfers and attorneys only is to ensure that legal transactions are documented and processed appropriately while maintaining a clear record of the legal responsibilities and rights associated with the transfer.
Information that must be reported includes the names of the parties involved, type of transfer, date of the transaction, relevant case or file numbers, and the signature of the attorney.
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