Release Of Information Form Mental Health In Mecklenburg

State:
Multi-State
County:
Mecklenburg
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

Contact Us. Monday through Friday from 7 a.m. – 7 p.m. Residents can call 3-1-1, submit service requests online or via live chat, or on the CLT+ app. You can access 311 outside of Charlotte and Mecklenburg County by calling 704.336. 7600.

Department of Community Resources Child Support Services. Enhancing the quality of life for children and families through the efficient and timely provision of child support services. Employment Assistance. Energy Assistance. Food and Nutrition Services. Housing Assistance. MeckSuccess. Medicaid.

Residents within Mecklenburg County can dial 311. If outside the county, please dial 704.336. 7600.

Residents within Mecklenburg County can dial 311. If outside the county, please dial 704.336. 7600.

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Release Of Information Form Mental Health In Mecklenburg