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Get Information Authorizing 2008-2024

D circumstances of the individual as well as staff’s knowledge of other agencies’ services or benefits and eligibility requirements. Referring agency staff shall explain the following to the individual: Potential services and benefits that might be available from other agencies. What information these agencies might need and for what purpose(s). The purpose of the form. The consequences of signing or not signing this authorization. Key provisions and protections (e.g., revocation, access to .

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