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Coordinated Entry Partnership Release of Information PERMISSION TO SHARE PERSONAL & HEALTH INFORMATION TO SECURE HELP WITH HOUSING A staff member will review this form with you. Signing is voluntary.Each
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How to fill out vt-bos-coordinated-entry-release-of-information

01
Obtain a copy of the vt-bos-coordinated-entry-release-of-information form.
02
Fill in your personal information, including your name, address, and contact information.
03
Specify the individual or organization that you are authorizing to release information to.
04
Sign and date the form to confirm your consent for the release of information.
05
Keep a copy of the completed form for your records.

Who needs vt-bos-coordinated-entry-release-of-information?

01
Individuals who are participating in the coordinated entry process in Vermont and need to authorize the release of their information to another party.

What is VT-BoS-Coordinated-Entry-Release-of-Ination- ... Form?

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vt-bos-coordinated-entry-release-of-information is a form used to authorize the release of information for the Coordinated Entry System in Vermont.
Individuals seeking assistance through the Coordinated Entry System in Vermont are required to file vt-bos-coordinated-entry-release-of-information.
To fill out vt-bos-coordinated-entry-release-of-information, individuals need to provide their personal information and sign the form to authorize the release of information.
The purpose of vt-bos-coordinated-entry-release-of-information is to allow agencies participating in the Coordinated Entry System to share information in order to better assist individuals experiencing homelessness or housing instability.
vt-bos-coordinated-entry-release-of-information may include personal identifiers, housing status, income information, and other relevant details necessary for coordinating services.
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