Authorization for Release of Confidential Information
Document Number: DVR-199-E
Description: This form is for DVR to obtain records from outside agencies.
Comments: Form is protected from modification and enabled for form fill (includes tabbed fields for form completion).
Content Contact: Kristina Krizan
DVR-199-E (English Electronic Version - Word/53 KB)
DVR-199-E-H (Hmong Electronic Version - Word/68 KB)
DVR-199-E-S (Spanish Electronic Version - Word/53 KB)
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