Form HHS-720 Request for Copy of Record(S) - Third-Party With the Individual Appellant's Consent

Form HHS-720 Request for Copy of Record(S) - Third-Party With the Individual Appellant's Consent

What Is Form HHS-720?

This is a legal form that was released by the U.S. Department of Health and Human Services on August 1, 2005 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HHS-720?
A: Form HHS-720 is a request form for a copy of record(s) with the consent of the individual appellant and a third party.

Q: What is the purpose of Form HHS-720?
A: The purpose of Form HHS-720 is to request a copy of record(s) from the Department of Health and Human Services (HHS) with the consent of both the individual appellant and a third party.

Q: Who can use Form HHS-720?
A: Form HHS-720 can be used by individuals who want to obtain a copy of record(s) from HHS, provided that both the individual appellant and a third party provide their consent.

Q: What information is required on Form HHS-720?
A: Form HHS-720 requires the individual appellant's name, contact information, and signature, as well as the third party's name, contact information, and signature.

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Form Details:

  • Released on August 1, 2005;
  • The latest available edition released by the U.S. Department of Health and Human Services;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HHS-720 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services.

Download Form HHS-720 Request for Copy of Record(S) - Third-Party With the Individual Appellant's Consent

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  • Form HHS-720 Request for Copy of Record(S) - Third-Party With the Individual Appellants Consent, Page 1
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