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Release authorization 2026
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- Click ‘Get Form’ to open the release authorization document in the editor.
- Begin by entering the date at the top of the form. This is essential for record-keeping purposes.
- In the 'To' field, specify the name of the individual or entity that will receive the tax records.
- Next, fill in your name in the section that states 'I, ______,' to identify yourself as the authorizing party.
- Indicate the legal services provider's name where prompted, ensuring clarity on who is authorized to act on your behalf.
- Complete the recipient's name and title (e.g., ESQUIRE) to ensure proper delivery of records.
- Provide your Social Security Number and Date of Birth for verification purposes.
- Fill out both your mailing and physical addresses accurately to avoid any issues with document delivery.
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Related links
By completing the Authorization to Release web form through the CSUN Portal, you can designate one or more trusted persons your third-party designee(s)
Please fill out the form below to request verification and authorization before sending any sensitive information to third parties. Restricted InformationRead more
This authorization is valid for 60 days and is signed to make medical information regarding me available to the other party(ies) to the lawsuit listed above forRead more