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Form UNI-16 Authorization for Release of Information - Alaska
What Is Form UNI-16?
This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. Check the official instructions before completing and submitting the form.
FAQ
Q: What is UNI-16?
A: UNI-16 is the abbreviation for the Authorization for Release of Information form in Alaska.
Q: What is the purpose of UNI-16?
A: The purpose of UNI-16 is to obtain authorization from an individual to release their personal information.
Q: Who needs to fill out UNI-16?
A: UNI-16 needs to be filled out by the individual or their authorized representative.
Q: What information is required on UNI-16?
A: The form requires information such as the individual's name, contact information, and the specific information to be released.
Q: How should UNI-16 be submitted?
A: UNI-16 can be submitted by mail, fax, or in person to the agency or organization where the information is being requested from.
Q: Is UNI-16 specific to Alaska?
A: Yes, UNI-16 is specific to Alaska and may not be applicable in other states.
Q: Is there a fee to submit UNI-16?
A: There is generally no fee to submit UNI-16, but some agencies or organizations may charge a fee for processing the request.
Q: Can UNI-16 be revoked?
A: Yes, an individual can revoke their authorization by submitting a written request to the agency or organization.
Form Details:
- Released on January 8, 2020;
- 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 UNI-16 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.
Download Form UNI-16 Authorization for Release of Information - Alaska
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