Disclosure Authorization Form Templates

ADVERTISEMENT

Documents:

16

  • Default
  • Name
  • Form number
  • Size

This form is used for requesting authorization to disclose tax credit information for the transferee in Louisiana.

This document is for taxpayers in Louisiana who need to authorize the disclosure of tax information. It provides instructions for completing Form R-7004, which is used to request authorization for the release of tax information to a designated party.

This Form is used for authorizing the disclosure of a proposed conservatee's health information to a court investigator in California, in accordance with HIPAA regulations.

This form is used for authorizing the disclosure of confidential patient records for the purpose of Health Information Exchange in Alabama.

This Form is used for authorizing the Arizona Department of Revenue to disclose taxpayer information to a third party.

This Form is used for granting authorization for the release of personal information in the state of Georgia, United States.

This Form is used for specifying use and disclosure restrictions in the state of Wyoming.

Loading Icon