Form E Request for Accounting of Disclosures - Alabama

What Is Form E?

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

FAQ

Q: What is Form E?
A: Form E is a request for an accounting of disclosures.

Q: Who can use Form E?
A: Anyone in Alabama can use Form E to request an accounting of disclosures.

Q: What is an accounting of disclosures?
A: An accounting of disclosures is a list of instances where your personal information was shared with others.

Q: Why would I need to request an accounting of disclosures?
A: You may need to request an accounting of disclosures to obtain information about how your personal information has been shared by a covered entity.

Q: How can I obtain a Form E?
A: You can obtain a Form E by contacting the covered entity from which you want to request the accounting of disclosures.

Q: Is there a fee to request an accounting of disclosures using Form E?
A: No, there is no fee to request an accounting of disclosures using Form E.

Q: Are there any specific requirements for filling out Form E?
A: Yes, you must provide specific information such as your name, address, and the timeframe for which you want the accounting of disclosures.

Q: What should I do with the completed Form E?
A: You should submit the completed Form E to the covered entity from which you are requesting the accounting of disclosures.

Q: How long does it take to receive a response to a Form E request?
A: The covered entity is required to provide the accounting of disclosures within 60 days of receiving your request.