Consent to receive electronic communication reiq: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering your preferred email address in the designated field. This is crucial as it will be used for all electronic communications.
Next, provide your facsimile number if applicable. This allows for additional methods of communication.
In the section labeled 'Name/s of persons providing consent', enter the names of all individuals consenting to receive information electronically.
Each person must then sign and date the document in the provided signature fields. Ensure that all signatures are completed before submission.
Finally, fill in the agency name and agent's details, including their signature and date, to finalize the consent form.

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What is consent to receive electronic communication?

In other words, they must affirmatively consent to electronic disclosure (or opt-in). The form of the affirmative consent must reasonably demonstrate the individuals ability to access information in the electronic form that will be used (e.g., the internet or email).