Get Authorization For The Transfer/release Of Assessment Results Rc-rrp-503 - Dds Ga

This guide provides clear and comprehensive instructions for completing the Authorization For The Transfer/Release Of Assessment Results RC-RRP-503 - Dds Ga form online. By following these steps, users will be equipped to accurately fill out the necessary information and facilitate the transfer or release of their assessment results.

Follow the steps to fill out the Authorization form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete Section 1 with your personal information. Provide your last name, first name, middle name (if applicable), date of birth, and social security number (if applicable). Ensure that all information is accurate to avoid delays.
3. In Section 2, select the appropriate reason for requesting the transfer or release of your assessment results. Options include transferring to a clinical evaluator, another risk reduction program, or a court official, probation officer, or employer.
4. Fill out Section 3 with the transfer information. Include the name of the program releasing your assessment results and its certification number, followed by your certificate of completion number and the date of completion. Then provide the name and certification number of the program or clinical evaluator receiving your assessment results.
5. If applicable, complete Section 4 by providing the name of the person or organization that will receive your assessment results, especially if it is not a risk reduction program or clinical evaluator.
6. In Section 5, specify the reason for transferring your assessment results to another risk reduction program. Choose from course cancellation, moving more than 30 miles from your assessment location, program closure, or documented emergency.
7. Review your entries carefully for accuracy before signing. After signing, ensure that the name of the official approving the transfer and the signature of the program official initiating the transfer are also included along with the date.
8. Once all sections are completed and reviewed, save your changes. You may also download, print, or share the completed form as needed.

Complete your Authorization For The Transfer/Release Of Assessment Results form online today to ensure a smooth process.