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This version of the form is not currently in use and is provided for reference only. Download this version of
Form F615
for the current year.
Form F615 Authorization for Release of Information - New York City
What Is Form F615?
This is a legal form that was released by the New York City Employees' Retirement System - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form F615?
A: Form F615 is the Authorization for Release of Information.
Q: What is this form used for?
A: This form is used to authorize the release of personal information in New York City.
Q: Who can use this form?
A: Any individual in New York City who wants to authorize the release of their personal information.
Q: What kind of information can be released with this form?
A: This form can be used to release medical, mental health, substance abuse, and HIV-related information.
Q: Who can receive the released information?
A: The released information can be received by specified individuals or organizations that are authorized by the person signing the form.
Q: Is there a cost to submit this form?
A: There is no cost to submit this form.
Form Details:
- Released on January 1, 2020;
- The latest edition provided by the New York City Employees' Retirement System;
- 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 F615 by clicking the link below or browse more documents and templates provided by the New York City Employees' Retirement System.
