Form DL-22 Authority to Release Confidential Medical Report and Release of Claim - North Carolina

Form DL-22 Authority to Release Confidential Medical Report and Release of Claim - North Carolina

What Is Form DL-22?

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

FAQ

Q: What is form DL-22?
A: Form DL-22 is the Authority to Release Confidential Medical Report and Release of Claim form in North Carolina.

Q: What is the purpose of form DL-22?
A: The purpose of form DL-22 is to authorize the release of confidential medical information related to a claim in North Carolina.

Q: Who needs to fill out form DL-22?
A: Form DL-22 needs to be filled out by the person making the claim and authorizing the release of their medical information.

Q: Is form DL-22 mandatory?
A: Yes, if you want to authorize the release of your medical information for a claim in North Carolina, filling out form DL-22 is mandatory.

Q: Are there any fees associated with form DL-22?
A: There are no fees associated with filing form DL-22.

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Form Details:

  • Released on July 1, 2020;
  • The latest edition provided by the North Carolina Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DL-22 by clicking the link below or browse more documents and templates provided by the North Carolina Department of Transportation.

Download Form DL-22 Authority to Release Confidential Medical Report and Release of Claim - North Carolina

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  • Form DL-22 Authority to Release Confidential Medical Report and Release of Claim - North Carolina, Page 1
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