Form CN4402 Authorization for Release of Non-health Information - Connecticut

Form CN4402 Authorization for Release of Non-health Information - Connecticut

What Is Form CN4402?

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

FAQ

Q: What is the CN4402 form?
A: The CN4402 form is the Authorization for Release of Non-health Information in Connecticut.

Q: What is the purpose of the CN4402 form?
A: The purpose of the CN4402 form is to authorize the release of non-health information in Connecticut.

Q: Who needs to use the CN4402 form?
A: Anyone who wants to release non-health information in Connecticut needs to use the CN4402 form.

Q: How do I fill out the CN4402 form?
A: You need to provide your personal information, specify the information you want to release, and sign the form.

Q: Is there a fee for submitting the CN4402 form?
A: The CN4402 form does not typically require any fees to submit.

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Form Details:

  • Released on June 30, 2009;
  • The latest edition provided by the Connecticut State Department of Correction;
  • 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 printable version of Form CN4402 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Correction.

Download Form CN4402 Authorization for Release of Non-health Information - Connecticut

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  • Form CN4402 Authorization for Release of Non-health Information - Connecticut, Page 1
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