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 Washington State In New York
Category:
State:
Multi-State
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
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FAQ
Our Values Cultivate an environment of integrity and trust: Corrections values partnership and trust. Respectful and inclusive interactions: Corrections appreciates and values individuals by promoting an inclusive and diverse environment, which encourages safety.
Citizens can control their government only if they remain informed about the decisions their government officials are making. That important principle underlies Washington's open public records and meeting laws. "The advancement and diffusion of knowledge is the only guardian of true liberty."
Requests for Client Records If you are submitting a request for Medicaid records specifically, please fill out and submit the OCA-960 Authorization for Release of Health Information Pursuant to HIPAA or other HIPAA-compliant form. Requests and forms should be submitted via email to HIPAA@dss.nyc.
WA DOC Authorization for Disclosure of Health Information form DOC 13-035 (ROI, Release of Information) for prisoners (families must have this form on file with WA DOC to obtain any sort of medical information about their loved one, and it is the incarcerated person's decision to grant ROI to loved ones).
The PRA requires state and local government agencies adopt an agency-specific PRA policy; that policy must facilitate public access to public records, while at same time “prevent interference with other essential functions of the agency” (RCW 42.56. 100 and 42.56. 040).
The Freedom of Information Law (“FOIL”), Article 6 (Sections 84-90) of the NYS Public Officers Law, provides the public right to access to records maintained by government agencies with certain exceptions.
The Washington Public Records Act is a series of laws designed to guarantee that the public has access to public records of government bodies at all levels.
To request a copy of a medical record from a hospital, call or write to the hospital holding the record. You must speak to the Medical Records Department and request a release of medical information authorization form from the hospital.
