Jv 226 2026

1. Click ‘Get Form’ to open the JV-226 in the editor.
2. Begin by filling in the court name and street address at the top of the form. This is essential for identifying where the authorization is being submitted.
3. Next, enter the child's name and date of birth in the designated fields. Ensure accuracy as this information is critical for processing.
4. Indicate your relationship to the child by selecting one of the options: Parent, Legal Guardian, Indian Custodian, or Child. This establishes your authority to authorize the release of information.
5. In section 2, specify which child welfare agencies are authorized to receive health information about the child. Be thorough to ensure all relevant parties are included.
6. For sections 3, 4, and 5, check all applicable boxes regarding what medical information you authorize for release. Review these options carefully to protect privacy.
7. Complete sections 6 through 9 by providing any additional permissions or requests for copies of records as needed.
8. Finally, sign and date the form at the bottom. Ensure that all required signatures are present before submission.

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