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707 W 15th Street5PE.5714OAHP1403 Rev. 9/98Official Eligibility Determination (OAHU use only) DateCOLORADO CULTURAL RESOURCE SURVEYInitials___Determined EligibleNational Register ___Determined Not
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Obtain the correct form for authorization for release of information.
02
Fill out your personal information including your name, address, and date of birth.
03
Specify the information you are authorizing to be released and to whom.
04
Sign and date the form in the presence of a witness if required.
05
Submit the form to the appropriate party or organization.

Who needs authorization for release of?

01
Anyone who needs to authorize the release of their personal information to a specific party or organization.
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Authorization for release of is a document that permits the disclosure of specific information, typically related to medical, financial, or personal data.
Individuals or organizations that wish to obtain information from a third party, such as healthcare providers or financial institutions, are required to file authorization for release.
To fill out an authorization for release, a person must provide their personal information, specify the information to be released, identify the recipient of the information, and sign the document.
The purpose of authorization for release is to ensure that individuals have control over their personal information and grant permission for its disclosure to designated parties.
The information that must be reported includes the individual's name, the details of the information being released, the recipient's name and address, and the individual's signature and date.
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