This Consent to Release of Financial Information authorizes all banks, financial institutions, businesses, employers, credit reporting agencies and any other businesses to which this person is indebted or have assets located, to provide information concerning his/her finances and assets, without liability, to the person or entity named in this Consent form. This form is applicable in any state.
Students may choose to complete and submit this form to the Registrar allowing the release of their education records to specified third parties. Please use the following form if you are asked to complete and sign a Consent to Release Information form: Consent to Release Information.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. The Contra Costa Psychological Association (CCPA) is an active group of psychologists committed to advancing the science and profession of psychology. The following will provide you with information about the experiment that will help you in deciding whether or not you wish to participate.