Get Sfn 1059

Filling out the Sfn 1059 form, also known as the Authorization to Disclose Information, is an essential step in allowing others to access your personal and confidential information when needed. This guide provides user-friendly, step-by-step instructions to assist you in completing the form accurately and efficiently online.

Follow the steps to complete the Sfn 1059 form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the client's information in the designated fields, including their name (last, first, middle initial), social security number, and date of birth.
3. Fill in the client’s address, including street address, city, state, and zip code. Ensure that all information is complete and correct.
4. In the 'Client Release and Signature' section, specify the name of the person or agency authorized to disclose information. Include the address of this person or agency as well.
5. Next, indicate the name of the person or agency that will receive the information and provide their address in the appropriate fields.
6. Clearly state the specific information that is being requested. Be as detailed as possible to avoid any confusion.
7. List the purposes for which the disclosed information will be used. It is important to be comprehensive in this section.
8. Specify when this authorization to disclose information will expire, either by date or by a specific event that terminates the release.
9. Have the client sign and date the form. If applicable, the signature of a parent, guardian, or custodian should also be included along with their relationship to the client.
10. If required, include the signature of a witness and the date of signing.
11. Review all entered information for accuracy. Once confirmed, you can save changes, download, print, or share the completed form as needed.

Complete the Sfn 1059 online today to ensure your information is shared as needed.