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Student Affairs Case ManagementAuthorization of Release and Disclosure of Information Student Name: ___Cortland ID Number: ___ E mail: ___ Phone: ___ Disclosure of Information: I understand that when
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Authorization of release is a formal document that permits the disclosure of information or records by an individual or entity to another party.
Typically, individuals or organizations that wish to obtain access to confidential information must file an authorization of release.
To fill out an authorization of release, provide personal details such as name and contact information, specify the entity authorized to release information, detail the information to be released, and sign the document.
The purpose of authorization of release is to ensure that information is shared legally and ethically, with the consent of the individual whose information is being disclosed.
The information that must be reported includes the names of the parties involved, the specific information to be released, the purpose of the release, and the timeframe for which the authorization is valid.
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