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 California In Alameda
Category:
State:
Multi-State
County:
Alameda
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
A release of information is a document that gives a consumer the opportunity to decide what material they want released from their medical file, who they want it delivered to, how long the data can be issued, and under what statutes and guidelines it is released.
While creating your own release forms is possible, it's important to consider a few things before you decide to do so. Consent forms involve intricate legal considerations that have to be specifically tailored to the situation at hand and adhere to certain laws and regulations.
By signing this form, you authorize the institution to which this form is submitted to release your information to the requester or their authorized representative. The consent must be signed and dated by the person giving the consent.
Begin by specifying your name, the entity authorized to disclose information, and the individuals or entities you authorize to receive it. Indicate the specific information and purpose for which it will be disclosed, add an expiration date or event, and sign and date the form to confirm your consent.
For County assistance, please call 510.208. 9770 for a menu of County Agencies and Departments. You can also look up telephone numbers in the County Telephone Directory.
You can search the records in person at our office during office hours. Records prior to 1969 must be searched in person at the Alameda County Clerk-Recorder's Office. See "In Person" below. Records from 1969 to present are electronically indexed and may be searched for online.
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.
Requests for criminal records must be submitted directly to the Superior Court of Alameda County: .
The California Public Records Act (PRA) provides for a right of access to public records and other information.
The Act provides for two types of access. One is a right to inspect public records: “Public records are open to inspection at all times during the office hours of the state or local agency and every person has a right to inspect any public record, except as hereafter provided.”
