Form CN4402 Authorization for Release of Non-health Information - Connecticut

Form CN4402 Authorization for Release of Non-health Information - Connecticut

What Is Form CN4402?

This is a legal form that was released by the Connecticut State Department of Correction - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the CN4402 form?A: The CN4402 form is the Authorization for Release of Non-health Information in Connecticut.

Q: What is the purpose of the CN4402 form?A: The purpose of the CN4402 form is to authorize the release of non-health information in Connecticut.

Q: Who needs to use the CN4402 form?A: Anyone who wants to release non-health information in Connecticut needs to use the CN4402 form.

Q: How do I fill out the CN4402 form?A: You need to provide your personal information, specify the information you want to release, and sign the form.

Q: Is there a fee for submitting the CN4402 form?A: The CN4402 form does not typically require any fees to submit.

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Form Details:

  • Released on June 30, 2009;
  • The latest edition provided by the Connecticut State Department of Correction;
  • 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 printable version of Form CN4402 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Connecticut State Department of Correction.

Download Form CN4402 Authorization for Release of Non-health Information - Connecticut

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