Form LIC122 Release of Information - California

Form LIC122 Release of Information - California

What Is Form LIC122?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form LIC122?
A: Form LIC122 is a Release of Information form used in the state of California.

Q: What is the purpose of Form LIC122?
A: The purpose of Form LIC122 is to authorize the release of confidential information.

Q: Who needs to fill out Form LIC122?
A: Form LIC122 needs to be filled out by individuals or entities who want to authorize the release of their confidential information.

Q: What information is required on Form LIC122?
A: Form LIC122 requires the individual or entity's name, address, and a description of the information to be released.

Q: Is there a fee to submit Form LIC122?
A: No, there is no fee to submit Form LIC122.

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Form Details:

  • Released on January 1, 2008;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LIC122 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form LIC122 Release of Information - California

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  • Form LIC122 Release of Information - California, Page 1
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