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Consent to Release Information and/or
Third Party Authorization to Act on my Behalf
Last Name / Surname (Legal)First Name/ Given Name (Legal)Program / CourseStudent ID
Year attending:I CONSENT for
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What is consent to release information?
Consent to release information is a form that allows an individual to give permission for their personal information to be shared with a specific person or organization.
Who is required to file consent to release information?
Any individual who wishes to authorize the release of their personal information is required to file consent to release information.
How to fill out consent to release information?
To fill out consent to release information, the individual must provide their personal details, specify the information to be released, and authorize the recipient of the information.
What is the purpose of consent to release information?
The purpose of consent to release information is to protect the privacy of individuals by ensuring that their personal information is only shared with authorized parties.
What information must be reported on consent to release information?
The information that must be reported on consent to release information includes the individual's name, contact details, the information to be released, and the recipient of the information.
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