The releasor authorizes his/her employer to release employment references including, but limited to, his/her employment history and wages and any information which may be requested relative to his/her employment, employment applications, and other related matters, and to furnish copies of any and all records which the employer may have regarding his/her employment.
Release Of Information Form In Alameda
Category:
State:
Multi-State
County:
Alameda
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
For any questions or information regarding Medi-Cal health plans, visit or call a Health Care Options (HCO) representative at 1-800-430-4263.
Records may be requested in the following ways: By submitting a request online via NextRequest. By telephone or visiting a department. By submitting a request in writing via email or US Mail.
