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Authorization for Release of Employment Records

Document Number:  DVR-18753

Description:  This form is used for authorizing release of consumer employment records.

Comments:  This form should be printed and completed by hand.

Content Contact:  DVR Forms

Document Attachment:  DVR-18753 (Print Version - Word/87 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.