Form CCA-1186A Authority to Release Information - Arizona (English / Spanish)

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form CCA-1186A for the current year.

Form CCA-1186A Authority to Release Information - Arizona (English / Spanish)

What Is Form CCA-1186A?

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

FAQ

Q: What is Form CCA-1186A?A: Form CCA-1186A is a document used in Arizona to authorize the release of information.

Q: Who can use Form CCA-1186A?A: Any individual in Arizona who wants to authorize the release of their information can use this form.

Q: What does Form CCA-1186A authorize?A: Form CCA-1186A authorizes the release of the individual's information to a specific person or organization.

Q: Is Form CCA-1186A available in English and Spanish?A: Yes, Form CCA-1186A is available in both English and Spanish.

Q: How do I fill out Form CCA-1186A?A: You need to provide your personal information and specify the person or organization to whom the information should be released.

Q: Is there a fee for submitting Form CCA-1186A?A: There may be a fee associated with submitting Form CCA-1186A. The specific fee amount can vary.

Q: Can I revoke the authorization given on Form CCA-1186A?A: Yes, you can revoke the authorization given on Form CCA-1186A at any time by notifying the relevant Arizona government office or agency.

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Form Details:

  • Released on July 1, 2019;
  • The latest edition provided by the Arizona Department of Economic Security;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CCA-1186A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.

Download Form CCA-1186A Authority to Release Information - Arizona (English / Spanish)

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