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Form DOC03-230 Employee Occupational Health Record (Eohr) Consent to Release / Disclosure Authorization - Washington
What Is Form DOC03-230?
This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DOC03-230?
A: Form DOC03-230 is the Employee Occupational Health Record (EOHR) Consent to Release/Disclosure Authorization form.
Q: What is the purpose of Form DOC03-230?
A: The purpose of Form DOC03-230 is to obtain consent from an employee to release or disclose their occupational health records.
Q: Who needs to fill out Form DOC03-230?
A: Employees in Washington who want to authorize the release or disclosure of their occupational health records need to fill out Form DOC03-230.
Q: What information is required on Form DOC03-230?
A: Form DOC03-230 requires the employee's name, date of birth, and signature. It also requires information about the recipient who is authorized to receive the records.
Q: Can an employee revoke consent after submitting Form DOC03-230?
A: Yes, an employee can revoke consent at any time by submitting a written request to the recipient or the employee's supervisor.
Form Details:
- Released on September 30, 2020;
- The latest edition provided by the Washington State Department of Corrections;
- 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 DOC03-230 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.
