This is a legal form that was released by the Alabama Department of Public Health - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is a Form D?
A: Form D is a request for accounting of disclosures.
Q: What is an accounting of disclosures?
A: An accounting of disclosures is a record of who has received your personal information and for what purpose.
Q: Who can submit a Form D?
A: Anyone can submit a Form D to request an accounting of disclosures.
Q: What information do I need to provide on Form D?
A: You will need to provide your personal information and details about the disclosures you are requesting.
Q: Is there a fee to submit a Form D?
A: There may be a fee associated with submitting a Form D, check with the Alabama Department of Public Health for more information.
Q: How long does it take to receive an accounting of disclosures?
A: The time it takes to receive an accounting of disclosures may vary, contact the Alabama Department of Public Health for more information.
Q: Can I request an accounting of disclosures for someone else?
A: You can only request an accounting of disclosures for yourself or for someone for whom you have legal authority.
Q: Why would I want to request an accounting of disclosures?
A: Requesting an accounting of disclosures allows you to understand who has accessed your personal information and why.
Q: What should I do if I find errors in my accounting of disclosures?
A: If you find errors in your accounting of disclosures, you should contact the Alabama Department of Public Health to have them corrected.
Form Details:
Download a printable version of Form D by clicking the link below or browse more documents and templates provided by the Alabama Department of Public Health.