Release Of Information Without Consent In Contra Costa

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

Description

The Release of Information Without Consent in Contra Costa is a crucial document that allows individuals to authorize their current or former employers to disclose specific employment and wage information to designated third parties. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who may need to obtain employment verification or references as part of legal proceedings or hiring processes. Key features of the form include clear identification of the authorizing individual, the employer, and the recipient of the information. Users must fill in their personal details, the name of the employer, and the recipient's information to complete the authorization. Additionally, the form includes a liability waiver that protects the employer from legal repercussions related to the disclosure of the information. It's important to note that this authorization remains valid until the individual formally revokes it in writing. This document is particularly relevant in scenarios where an individual needs to provide proof of employment to secure a loan, rental agreement, or during litigation related to employment matters. Legal professionals benefit from having a standardized form to streamline these processes and ensure compliance with regulations in Contra Costa.

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FAQ

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

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.

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

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.

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.

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).

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Release Of Information Without Consent In Contra Costa