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Form LIC122 Release of Information - California
What Is Form LIC122?
This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form LIC122?A: Form LIC122 is a Release of Information form used in the state of California.
Q: What is the purpose of Form LIC122?A: The purpose of Form LIC122 is to authorize the release of confidential information.
Q: Who needs to fill out Form LIC122?A: Form LIC122 needs to be filled out by individuals or entities who want to authorize the release of their confidential information.
Q: What information is required on Form LIC122?A: Form LIC122 requires the individual or entity's name, address, and a description of the information to be released.
Q: Is there a fee to submit Form LIC122?A: No, there is no fee to submit Form LIC122.
Form Details:
- Released on January 1, 2008;
- The latest edition provided by the California Department of Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form LIC122 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
