Loading
Form preview picture

Get Form Har 34

STATE OF HAWAI I DEPARTMENT OF EDUCATION CONSENT FOR RELEASE OF INFORMATION Student s Name Date of Birth Last Name First Name Middle Initial Grant permission to the Hawai i Department of Education Name of DOE School or Office Address City State Zip Code Department of Education Contact To q RELEASE q RECEIVE Phone Number Fax Number Check one the following document s /information on the above named student except that which is legally not subject to disclosure by law and is covered under the Hawai i Revised Statutes 325-101 Infections and Communicable Diseases HIV Infection ARC and AIDS 329-68 Uniform Controlled Substances Act Protection of records divulging confidential information prohibited and 329-B6 Substance Abuse Testing Test Results to or from the agency or person listed below Name of Agency or Person Specify document s /information authorized for release or receipt For the purpose of This personal document s /information will be transmitted to the agency or person named above only on the condition that it not be shared with another agency or other person s without the written consent of the parent s or legal guardian s or eligible student an eligible student means a student who has reached 18 years of age or is attending a postsecondary institution at any age. Parent/Legal Guardian or Eligible Student Signature Date PRINTED Name of Parent/Legal Guardian or Eligible Student DISTRIBUTION School Parent Agency eCSSS OITS-IAS Form HAR 34 Rev. 11/11 RS 12-0504. STATE OF HAWAI I DEPARTMENT OF EDUCATION CONSENT FOR RELEASE OF INFORMATION Student s Name Date of Birth Last Name First Name Middle Initial Grant permission to the Hawai i Department of Education Name of DOE School or Office Address City State Zip Code Department of Education Contact To q RELEASE q RECEIVE Phone Number Fax Number Check one the following document s /information on the above named student except that which is legally not subject to disclosure by law and is covered under the Hawai i Revised Statutes 325-101 Infections and Communicable Diseases HIV Infection ARC and AIDS 329-68 Uniform Controlled Substances Act Protection of records divulging confidential information prohibited and 329-B6 Substance Abuse Testing Test Results to or from the agency or person listed below Name of Agency or Person Specify document s /information authorized for release or receipt For the purpose of This personal document s /information will be transmitted to the agency or person named above only on the condition that it not be shared with another agency or other person s without the written consent of the parent s or legal guardian s or eligible student an eligible student means a student who has reached 18 years of age or is attending a postsecondary institution at any age. Parent/Legal Guardian or Eligible Student Signature Date PRINTED Name of Parent/Legal Guardian or Eligible Student DISTRIBUTION School Parent Agency eCSSS OITS-IAS Form HAR 34 Rev* 11/11 RS 12-0504.

How It Works

postsecondary rating
4.8Satisfied
23 votes

Tips on how to fill out, edit and sign Infections online

How to fill out and sign Revised online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Are you still trying to find a quick and convenient tool to fill in Form Har 34 at a reasonable price? Our service provides you with an extensive collection of templates available for filling in on the internet. It only takes a few minutes.

Stick to these simple instructions to get Form Har 34 prepared for sending:

  1. Get the form you will need in our collection of legal templates.
  2. Open the form in the online editor.
  3. Go through the guidelines to learn which info you have to give.
  4. Choose the fillable fields and add the necessary information.
  5. Add the date and place your electronic signature once you complete all of the boxes.
  6. Look at the completed form for misprints along with other errors. In case there?s a necessity to change some information, our online editor along with its wide range of instruments are available for you.
  7. Download the resulting form to your computer by hitting Done.
  8. Send the e-document to the parties involved.

Submitting Form Har 34 doesn?t have to be confusing any longer. From now on comfortably get through it from your home or at your business office right from your mobile or personal computer.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Statutes FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Form Har 34

  • ias
  • har
  • postsecondary
  • divulging
  • communicable
  • rs
  • Statutes
  • specify
  • infections
  • disclosure
  • aids
  • Revised
  • prohibited
  • Substances
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.