Edit, sign, and share printable fax cover sheet with confidentiality statement online. On this page, you'll find 3 variations of confidential fax disclaimer statements, as well as two downloadable and printable PDF cover sheets.These blank fax cover sheets and templates are available free for your use. Each is available as a Microsoft Word, PDF or Apple Pages template. Create a professional fax cover sheet using these templates. Instructions. 1. Complete this fax cover sheet thoroughly including any additional information. 2. Confidentiality statement: Position the confidentiality statement near the bottom of the cover sheet or in a footer. 1. Enter the customer's name and identifying information. Confidentiality statement: Position the confidentiality statement near the bottom of the cover sheet or in a footer. Food Assistance Program Forms.