Authorization for Disclosure Form in English and Other Languages

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Authorization for Disclosure Form (English) (PDF)

Authorization for Disclosure Form (English) Large Print (PDF)


Translated Versions

Authorization for Disclosure Form (Amharic) 

Authorization for Disclosure Form (Arabic)

Authorization for Disclosure Form (Cambodian/Khmer)

 cambodian

Authorization for Disclosure Form (Chinese simplified)

Authorization for Disclosure Form (Chinese traditional)

Authorization for Disclosure Form (Japanese)

Authorization for Disclosure Form (Korean)

Authorization for Disclosure Form (Punjabi)

 punjabi

Authorization for Disclosure Form (Russian)

Authorization for Disclosure Form (Somali)

Authorization for Disclosure Form (Spanish)

Authorization for Disclosure Form (Tagalog)

Authorization for Disclosure Form (Tigrigna)

Authorization for Disclosure Form (Vietnamese)