PDF
Word
Local Contact Agency Consent for the Release of Confidential Information - North Carolina
Local Contact Agency Consent for the Release of Confidential Information is a legal document that was released by the North Carolina Department of Health and Human Services - a government authority operating within North Carolina.
FAQ
Q: What is the Local Contact Agency Consent for the Release of Confidential Information?A: The Local Contact Agency Consent for the Release of Confidential Information is a form used in North Carolina to authorize the release of confidential information by a local contact agency.
Q: When is the Local Contact Agency Consent for the Release of Confidential Information needed?A: This form is needed when you want to authorize a local contact agency in North Carolina to release your confidential information to a third party.
Q: Who needs to fill out the Local Contact Agency Consent for the Release of Confidential Information?A: The person whose confidential information is being released needs to fill out this form.
Q: What information is required in the Local Contact Agency Consent for the Release of Confidential Information?A: The form typically requires personal information of the individual, details of the information being released, and the name of the third party receiving the information.
Form Details:
- Released on March 1, 2014;
- The latest edition currently provided by the North Carolina Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the North Carolina Department of Health and Human Services.
