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.
Please complete these fields in case we need to contact you about the consent form). TO: Social Security Administration.If doing the report online, click on "fill out online disability report" and continue as directed. To complete this form: • Fill in the name, date of birth, and Social Security Number of the person to whom the information applies. We must have your official release documents from the jail or prison where you were confined. In many cases, there are no forms to sign. The agency will review the application and reach out with questions or for more information. Apply in person at your Department of Social Services (DSS) office. Learn about programs and organizations that give free legal advice and may help you find a free or lowcost attorney. General Authorization For Release Of Information To The Tennessee Department Of Human Services - (Spanish).