Form SSA3288 Consent for Release of Information Free Download
What Is The Ssa 3288 Form Used For. Form ssa 3288, consent for release of information, is the form to allow the social security administration to release specific information or records about yourself, a minor child, or legally incompetent adult to another individual or organization. • nonmedical records, should use this form.
Form SSA3288 Consent for Release of Information Free Download
The ssa form cannot be used to release a minor’s medical records. We will use the information you provide to respond to the request for social security administration (ssa) records. The information you want to release includes, but isn’t limited to: Web the request to release information or records about you. • nonmedical records, should use this form. Natural or adoptive parents or a legal guardian, acting on behalf of a minor, who want us to release the minor's: Web complete this form only if you want the social security administration to give information or records about you to an individual or group (for example, a doctor or an insurance company). We may share the information for the following purposes, called routine uses: A legally incompetent adult whose legal guardian is responsible for providing the information. Web if the nonmedical information pertains to a minor, the parent or legal guardian should be notified.
Web complete this form only if you want the social security administration to give information or records about you to an individual or group (for example, a doctor or an insurance company). Web the ssa form can be used to release information about a minor or a legally incompetent adult. We will use the information you provide to respond to the request for social security administration (ssa) records. The information you want to release includes, but isn't limited to: We may share the information for the following purposes, called routine uses: • nonmedical records, should use this form. Natural or adoptive parents or a legal guardian, acting on behalf of a minor, who want us to release the minor's: Form ssa 3288, consent for release of information, is the form to allow the social security administration to release specific information or records about yourself, a minor child, or legally incompetent adult to another individual or organization. A legally incompetent adult whose legal guardian is responsible for providing the information. Web if the nonmedical information pertains to a minor, the parent or legal guardian should be notified. The ssa form cannot be used to release a minor’s medical records.