Wisconsin doc forms 2025

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4.8 out of 5

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The document is an authorization form from the Wisconsin Department of Corrections for the disclosure of non-health confidential information. It outlines the process for individuals to authorize the release of their personal records, including education and employment information, while ensuring compliance with relevant state and federal regulations. The form includes sections for identifying parties involved, specific information to be disclosed, rights regarding the authorization, and expiration details.

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Click ‘Get Form’ to open the Wisconsin DOC-1163 form in the editor.
Begin by filling in the 'Individual/Agency Being Authorized to Release Information/Record(s)' section. Enter the name, telephone number, address, city, state, fax number, and zip code of the individual or agency.
Next, provide details about the subject of information/record(s). Fill in their name, identifying/doc number, date of birth, address, city, state, and zip code.
In the 'Information/Record(s) May Be Released To' section, enter the name and contact details of the individual or agency receiving the information.
Check all applicable boxes under 'Specific Information Authorized for Disclosure' to indicate what type of information you are authorizing for release.
Complete any additional sections regarding education and employment records as necessary. Specify time periods and purposes for each category.
Finally, sign and date the authorization at the bottom of the form. Ensure that you understand your rights regarding this authorization before submitting.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (80 Votes)
2004	4.1 Satisfied (69 Votes)

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