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Form 5061 Notice and Consent for Disclosure of Personal Information - Texas
What Is Form 5061?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 5061?
A: Form 5061 is a Notice and Consent for Disclosure of Personal Information form in Texas.
Q: Who needs to fill out Form 5061?
A: Anyone who wants to authorize the disclosure of their personal information in Texas needs to fill out Form 5061.
Q: What is the purpose of Form 5061?
A: The purpose of Form 5061 is to give consent for the disclosure of personal information in Texas.
Q: What information is required on Form 5061?
A: Form 5061 requires you to provide your name, address, and the specific personal information you want to authorize the disclosure of.
Q: Do I need to notarize Form 5061?
A: No, notarization is not required for Form 5061.
Q: How long is the authorization valid for?
A: The authorization on Form 5061 is valid for one year from the date it is signed.
Form Details:
- Released on May 1, 2017;
- The latest edition provided by the Texas Health and Human Services;
- 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 fillable version of Form 5061 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
