Free Third-Party Release Form Template
Third-Party Release Form
Please fill out this form completely to authorize the release of information, materials, or permissions to a third party.
Personal Information
Name
Address
Phone number
Third-Party Information
Name
Organization
Address
Phone number
Description of Material/Information to be Released
Please describe the material, information, or permissions to be released
Purpose of the Release
Please specify the purpose for which the release is being granted
Release Authorization
I authorize the release of the above-described material, information, or permissions to the third-party listed above.
Name:
Date:
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