Information Release Authorization Form

What is information release authorization form?

Sometimes you need to take care of your personal information and the details about yourself that could not be misused by anybody. One way to protect your personal details is to give someone permission to use your personal data only on the basis of a verification form called as release authorization form. This enables you to make sure your information is being used for a specific purpose only and cannot be exploited by people other than those you permitted to use your information.

Who needs the form?

The people who would need your personal details for the sake of conducting your accountability would be the ones needing your permission in the release authorization form. These people could be some organizations who would have the authority to hire you or it could be some third party that could require your employment details. So, in such a case, you sign a document termed release authorization form for that specific organization which implies that you are allowing them to give your information to the certain party.

What to fill in the form?

You have to add up your name along with the contact details in the release authorization form. Moreover, you also have to mention the specific organization that would be the recipient of this form. You might also have to explain your reasons for using this specific form plus mention the duration for which you are giving the other party permission to use your personal information.

Sample Preview

information release authorization form


Information Release Authorization Form
Microsoft Word document file | File size 36 KB | Download

The file can be download in OpenOffice format (.odt)

OpenOffice Format
File size 18 Kb | Download



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