Fillable Authorization for Release of Information to Linn-Benton Housing (Linn-Benton Housing Authority)

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Authorization for Release of Information to Linn-Benton Housing (Linn-Benton Housing Authority)

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Country of origin: US
File type: PDF

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P:\Public\SECTION 8\FORMS\AUTHORIZATIONS AND RELEASES\Authorization for Release of Information to LBHA.doc
4/18/06
Authorization for Release of Information
to Linn-Benton Housing Authority
I authorize the following
person(s) to have access to information in my Section 8 file with Linn-
Benton Housing Authority. I further authorize Linn-Benton Housing
Authority to discuss with the following person(s) any information in my
Section 8 file.
Name(s):
Relationship to Participant:_______________________________________
Address:
Phone:
Participant Signature Date
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Authorization for Release of Information to Linn-Benton Housing (Linn-Benton Housing Authority)

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Completed 31 January 2021

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