RELEASE OF INFORMATION AGREEMENTRelease of Information Agreement • May 8th, 2017
Contract Type FiledMay 8th, 2017TO WHOM IT MAY CONCERN: I am an applicant for a position with the Coconino County Juvenile Court Center. The department needs to thoroughly investigate my employment background and personal history to evaluate my qualifications to hold the position for which I applied. It is in the public’s interest that all relevant information concerning my personal and employment history be disclosed to the above department.
RELEASE OF INFORMATION AGREEMENTRelease of Information Agreement • October 14th, 2011
Contract Type FiledOctober 14th, 2011(A copy of this form is considered as valid as the original. The contact person will send copies of this form to all individuals/agencies listed below. Individuals/agencies listed are responsible for providing information requested.)
Release of Information AgreementRelease of Information Agreement • February 27th, 2022
Contract Type FiledFebruary 27th, 2022
Next Step Clinic Agreement for Release of InformationRelease of Information Agreement • October 11th, 2019
Contract Type FiledOctober 11th, 2019
LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANSRelease of Information Agreement • February 7th, 2018
Contract Type FiledFebruary 7th, 2018
RELEASE OF INFORMATION AGREEMENTRelease of Information Agreement • May 13th, 2005
Contract Type FiledMay 13th, 2005TO WHOM IT MAY CONCERN: I am an applicant for a position with the City of Burleson Police Department. The department needs to thoroughly investigate my employment background and personal history to evaluate my qualifications to hold the position for which I applied. It is in the public’s interest that all relevant information concerning my personal and employment history be disclosed to the above department.
RELEASE OF INFORMATION AGREEMENTRelease of Information Agreement • January 5th, 2015
Contract Type FiledJanuary 5th, 2015This release will be utilized and provided to third-party agencies in order to conduct a background investigation pursuant to your request for employment. Please be advised that this release will be in effect for two years from the date signed.
This agreement authorizes the release of information regarding the following individual:Release of Information Agreement • September 28th, 2022
Contract Type FiledSeptember 28th, 2022Developmental Skills assessment (Language, Readiness, Academic, Motor, Etc.) Social/Emotional Assessment and Interpretation
RELEASE OF INFORMATION AGREEMENTRelease of Information Agreement • January 15th, 2009
Contract Type FiledJanuary 15th, 2009
RELEASE OF INFORMATION AGREEMENTRelease of Information Agreement • January 25th, 2021
Contract Type FiledJanuary 25th, 2021
Agreement to release your factsRelease of Information Agreement • February 10th, 2010
Contract Type FiledFebruary 10th, 2010
RELEASE OF INFORMATION AGREEMENTRelease of Information Agreement • May 8th, 2017
Contract Type FiledMay 8th, 2017TO WHOM IT MAY CONCERN: I am an applicant for a position with the Coconino County Probation Department. The department needs to thoroughly investigate my employment background and personal history to evaluate my qualifications to hold the position for which I applied. It is in the public’s interest that all relevant information concerning my personal and employment history be disclosed to the above department.
This agreement authorizes the release of information regarding the following individual:Release of Information Agreement • November 23rd, 2021
Contract Type FiledNovember 23rd, 2021Developmental Skills assessment (Language, Readiness, Academic, Motor, Etc.) Social/Emotional Assessment and Interpretation
Release of Information to Third PartiesRelease of Information Agreement • September 24th, 2019
Contract Type FiledSeptember 24th, 2019Instructions: You must fill out this form in order to allow the subrecipient, , and the Georgia Department of Community Affairs (“DCA”) to share your, all of your household members’, and all owners’ Personally Identifiable Information (PII) with third parties in order to process your application. This information will be shared for program production purposes only.
Release of Information AgreementRelease of Information Agreement • January 5th, 2022 • Maryland
Contract Type FiledJanuary 5th, 2022 Jurisdiction
RELEASE OF INFORMATION AGREEMENTRelease of Information Agreement • April 7th, 2009
Contract Type FiledApril 7th, 2009