Release Of Information Form In Contra Costa

State:
Multi-State
County:
Contra Costa
Control #:
US-00458
Format:
Word; 
Rich Text
Instant download

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Description

The Release of Information Form in Contra Costa is a legally binding document that enables individuals to authorize the release of their wage and employment information to specified parties. This form is particularly useful for those seeking new employment, as it allows potential employers to verify work history and salary details. Key features of this form include the ability to designate specific employers and recipients of the information, a release of liability clause that protects the disclosing employer from legal repercussions, and clear instructions on completing the form. Users need to provide personal identification information and designate who can receive their employment references. The form remains valid until the user revokes it in writing, ensuring ongoing consent until explicitly stated otherwise. For attorneys, partners, owners, associates, paralegals, and legal assistants, this form serves as an essential tool for ensuring compliance with employment verification processes and protecting the interests of their clients. Additionally, it helps streamline the hiring process by providing potential employers with the requested information without unnecessary delays.

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FAQ

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.

To do this, you file a petition with the court and publish a notice in a newspaper. Then, you'll either have a court date (a hearing) where a judge will make a decision, or the judge may make a decision without a hearing. Once the judge decides, you pick up a court decree (court order) with your new name.

Make sure you have to show up at the hearing In some courts, the judge may order the change of name without a hearing as long as you followed all the steps required. If you forgot to ask the clerk about the hearing when you filed your papers, call the clerk's office now to make sure you have to show up.

Change your legal name Once the judge decides, you pick up a court decree (court order) with your new name. The process generally takes up to 3 months. Choose any part of the process below to get step-by-step instructions.

CCHP is the primary managed-care provider for Medi-Cal beneficiaries in Contra Costa and we also manage smaller plans for county employees and IHSS homecare workers. Our members have access to hundreds of family medicine doctors and specialists in our provider networks.

1-877-661-6230 Call if you have a medical problem or if you have a medical question.

Tzvieli, Ori. Dr. Tzvieli has been the County's health officer and Public Health Director since Sept. 2021.

Ways to File a Grievance or Appeal Call Member Services, Monday – Friday, 8am – 5pm at 1-877-661-6230 (Option 2) (TTY 711). If you have a clinically urgent issue, you can also reach our 24-Hour Nurse Advice Line at 1-877-661-6230 (Option 1).

The Contra Costa County Vital Registration Office is able to provide certified copies for births occurring this year and last year in Contra Costa County. Births that occurred prior to that may be obtained from the Clerk-Recorders Office at 925-335-7900 or on the County Clerk website.

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Release Of Information Form In Contra Costa