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I expressly request that all covered entities under HIPAA identified above disclose full and complete protected medical information, including the following:. Compensation Records Request Form.INSTRUCTIONS: For all requests, SECTION II, III or IV of this form must be fully completed, as applicable. Personnel records, job application forms and documents of any kind or nature. 4. I authorize the State of Oregon Employment Department, to release the following information from my records. (Please initial those that apply). EMPLOYEE: For you to release this information with this form, you must be an employee or have received an offer of employment. Supporting Medical Records and Reports.