Get Authorization To Release Case Information Form - Nyc

This guide provides clear instructions on how to complete the Authorization To Release Case Information Form for the Human Resources Administration online. It ensures that clients can easily navigate the process and provide the necessary consent for information release.

Follow the steps to complete the form accurately.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering the client's name in the designated field. Ensure that the name matches the identification documents.
3. Fill in the client's date of birth. This must be formatted correctly to avoid any issues.
4. Input the case number assigned by the Human Resources Administration. This number can usually be found on previous correspondence regarding the case.
5. Provide the client's address as requested in the appropriate field. Make sure the address is complete and accurate.
6. Enter the client's phone number. This should be a number where the client can be reached for follow-up.
7. In the section labeled 'Describe Issue and Request', clearly outline the specific issue and the information being requested. Be concise but thorough.
8. Specify the time period for the information being requested. This should indicate exactly what dates the information should cover.
9. Have the client read the statement section and sign where indicated. This signature is essential for authorization.
10. Complete the section 'Name of Requestor and Office Affiliation' if applicable, including the contact number for the requestor.
11. Once all information is correctly filled, review the form for accuracy. Make any necessary adjustments before proceeding.
12. After finalizing the entries, you can save changes, download the form, print it, or share it as needed.

Complete the Authorization To Release Case Information Form online today to facilitate the process of releasing your case information.