Dhs instructions authorization 2026

1. Click ‘Get Form’ to open the DHS 1123 authorization form in the editor.
2. In the first field, enter the full name of the person authorizing the disclosure.
3. If applicable, describe the type of legal appointment for legal representatives and attach any necessary documentation.
4. Check the appropriate boxes for requested information. If selecting 'Other', provide specific details and service dates.
5. If different from step 1, enter the applicant’s or beneficiary’s name.
6. Input the applicant’s or beneficiary’s Social Security Number and/or Date of Birth.
7. Enter the name of the person or agency authorized to receive this information.
8. Specify the relationship of that person or agency to the applicant/beneficiary, if any.
9. Provide the mailing address and phone number of the authorized recipient.
10. Explain how this information will be used by the authorized recipient; note that this is optional for self-releases.
11. Indicate a date or event that will end this authorization; if left blank, it defaults to one year from today.
12. Finally, have the authorizing individual sign and date the form, including their mailing address.

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