This is a legal form that was released by the Nebraska Department of Health and Human Services - a government authority operating within Nebraska. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CRED-0915 (A)?
A: Form CRED-0915 (A) is an Authorization for Release of Information form used in Nebraska.
Q: What is the purpose of Form CRED-0915 (A)?
A: The purpose of Form CRED-0915 (A) is to authorize the release of information to a specified individual or entity.
Q: Who needs to fill out Form CRED-0915 (A)?
A: Any individual or entity who wants to authorize the release of information in Nebraska needs to fill out this form.
Q: Is Form CRED-0915 (A) specific to Nebraska?
A: Yes, Form CRED-0915 (A) is specific to Nebraska and is used within the state's jurisdiction.
Q: What information is required on Form CRED-0915 (A)?
A: The form typically requires the individual's or entity's identifying information, the recipient of the information, the purpose of the release, and the duration of authorization.
Q: Who should I contact if I have questions about Form CRED-0915 (A)?
A: If you have questions about Form CRED-0915 (A), you should contact the relevant agency or institution that requires the form for further guidance and assistance.
Form Details:
Download a fillable version of Form CRED-0915 (A) by clicking the link below or browse more documents and templates provided by the Nebraska Department of Health and Human Services.