Form 06-5872 Revocation of Authorization for Release of Information - Alaska

Form 06-5872 Revocation of Authorization for Release of Information - Alaska

What Is Form 06-5872?

This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 06-5872?
A: Form 06-5872 is the Revocation of Authorization for Release of Information in Alaska.

Q: What is the purpose of Form 06-5872?
A: The purpose of Form 06-5872 is to revoke a previous authorization for the release of information.

Q: How do I use Form 06-5872?
A: To use Form 06-5872, fill out the required information, sign and date the form, and submit it to the appropriate recipient.

Q: Is there a deadline for submitting Form 06-5872?
A: There may not be a specific deadline for submitting Form 06-5872, but it is best to revoke the authorization as soon as possible to prevent any further release of information.

Q: Are there any fees associated with Form 06-5872?
A: There are usually no fees associated with submitting Form 06-5872.

Q: Can I revoke the authorization for release of information after the form is submitted?
A: Yes, you can revoke the authorization even after the form is submitted by submitting a new revocation form or contacting the recipient in writing.

Q: What happens after I submit Form 06-5872?
A: After you submit Form 06-5872, the recipient should stop releasing any further information as per your revocation request.

Q: Do I need legal assistance to fill out Form 06-5872?
A: You do not necessarily need legal assistance to fill out Form 06-5872, but if you have any specific legal concerns, it is recommended to consult with an attorney.

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Form Details:

  • Released on January 12, 2004;
  • The latest edition provided by the Alaska Department of Health and Social 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 06-5872 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.

Download Form 06-5872 Revocation of Authorization for Release of Information - Alaska

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