Model Format of Authorization for Release of Information

Model Format of Authorization for Release of Information

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Authorization for Release of Information
Authorization for Release of Information

Name of applicant: _________________


ID No.: ____________

Date of application: _______________

Position applied for: ______________

TO:     

You are authorized to release information concerning my employment with you, or if you are a personal/academic reference, release information concerning my employment and education, including subject evaluations to ______________________.

You are further released from liability in connection with your response to this inquiry.

A photocopy of this authorization will be as effective as an original.

___________________________________________

Requester

Please send it to the following person.

________________________

Attention: _________________

____________________________

____________________________

Telephone: _________________

If there are any charges connected with this transaction, please charge:….

Note: This is just the part of the agreement. To get it drafted completely by legal experts, kindly contact the expert team of Aapka Consultant by clicking here

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