Release Of Information Form Template In Contra Costa

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

Description

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.

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FAQ

If you are ready to conduct a warrant search, the primary record custodian is the Contra Costa County Superior Court. You can start by searching the Superior Court's Online Database. To find warrant information, you have to search for criminal cases with this database.

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).

Please email your question to Dept. 7 at dept07@contracostaurts.ca or fax your question to Dept. 7 at (925) 608-0694.

The Sheriff's Custody Services Bureau handles all in-custody inmate information. They can be reached at (925) 646-4496, 24 hours a day seven days per week.

If you do not have internet access or do not have access to a Smart phone or computer, you can still participate by phone only (no video needed) by calling: +1 669-900-6899 or +1 669-219-2599. You will need to be in a private, quiet location for up to two hours for your hearing. Have your phone or computer plugged in.

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.

If your matter will be heard by CourtCall, the CourtCall phone number is 888-882-6878. See attached pamphlet for more information on registering for a CourtCall Telephonic Appearance: How to use CourtCall.

For criminal histories, arrest records, copies of citations, dispositions, court dates and records, warrant checks and Information, and restraining order information, please contact the Superior Court, 725 Court St., Martinez or Call (925) 608-1000.

More info

By filling out the form below, you give the County of Contra Costa ("County") the absolute right and permission to the unlimited use of your image and likeness. Official Forms for Viewing and Downloading.The Clerk-Recorder's Office does not offer blank forms of documents for recording. Clerk-Recorder Staff is prohibited from giving legal advice. Use this form to request a check from a Foundation Program Account. Please fill out and print form, and attach supporting documentation. Release of Information Consent(Required). I give permission for the Contra Costa County IHSS Public Authority to obtain information regarding my work history. Many of the WCCUSD forms are presented in PDF format. Contra Costa County Release of Notice of Pending Action Form.

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Release Of Information Form Template In Contra Costa