release authorization form samples

Regardless of what type, and how deep the information that another person will use, he is required to ask for permission from the owner with the use of various legal documents such as an Authorization Form. This does not only relate in giving a permit for someone to view another person’s data but also allows them to use and release the information to other entities.

An Authorization Form is also considered as a contract between the owner and the authorized individual. It is recommended that when the form has been signed by the involved parties, both shall have a copy as their own reference for the contract.

Sample Authorization to Release Information

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  • PDF

Size: 4 KB

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Document Release Authorization

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  • PDF

Size: 625 KB

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Authorization to Release Medical Information

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  • PDF

Size: 100 KB

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Student Information Release

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  • PDF

Size: 544 KB

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Record Release

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  • PDF

Size: 72 KB

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Criminal Background Check Release of Information

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  • PDF

Size: 48 KB

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Member Authorization to Release Information

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  • PDF

Size: 854 KB

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What is a Release Authorization Form?

A Release Authorization Form is a written consent of an individual to allow a third party in using and viewing his personal data and information. This form is under legislative laws from different countries such as the FOI or Freedom of Information Act and the Information Privacy Act.

Some countries require a notarization for the form if the intent is to release records of an individual from the government. For granting authorization to a number of people, the owner will have to create separate authorization forms per person and indicate the specified information to be released to each individual.

When to Use a Release Authorization Form?

A Release Authorization Form is used to obtain the following:

Medical data and records – This requires the use of a Medical Authorization Form which will indicate the particular data that the physician or the healthcare providers will need from their patient.

Student and school data – The student’s transcript of records and the transactions of the student’s account may be acquired with a Student Release Authorization Form.

Photographs and videos – Releases are not limited to data and information but also personal properties of an individual. To allow filmmakers and photographers to use a person’s image, they should have the individual sign the form before the release dates.

Student Information Release

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File Format
  • PDF

Size: 544 KB

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Transcript Release

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  • PDF

Size: 193 KB

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Authorization to Release Protected Health Information

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  • PDF

Size: 166 KB

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Health Information Release

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  • PDF

Size: 249 KB

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Candidate Release Authorization

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  • PDF

Size: 87 KB

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Author Release and Supervisor Authorization

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  • PDF

Size: 58 KB

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Authorization Release Information Form

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File Format
  • MS Word

Size: 30 KB

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Credit Balance Authorization Release Form

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File Format
  • XLS

Size: 376 KB

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Quick Tips for Writing and Filling Out a Release Authorization Form

  • Before you fill out the release authorization form, make sure that you know your main intent on why you are giving the permission.
  • Specify the data in which your authorized person can use and view.
  • Always have a time-period for your authorization to omit the authorized person in using your data for faulty purposes.
  • When deciding to release an information from the government, start processing your authorization a month before you will need the authorized person to act for a transaction and use your data.
  • Hire a legal lawyer to guide you through the process of making a proper Release Authorization Letter.
  • Make sure that you are using the appropriate type of Release Authorization Form, such as an Employment Authorization Form for releasing your job history to your company, and a Patient Release Form for health status and information.
  • The statements on the form should be straight to the point.
  • To assure that the personal who will approve the release can reach out in the case of problems, add a contact information below the authorization form.
  • Authorization Forms are best as a one-pager document, however, you can also attach files as pieces of evidence for the release.

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