In order to ensure that your payments continue to be processed in a timely manner, please complete the attached agreement and follow submission instructions. Please take a moment to fill out the attached Trespass Arrest Authorization form for your location.Download, print and complete the authorization form. This format can be used if you wish to giveauthorization for more than one event application during one, two or three yearperiod. Request for Order (Ex Parte Emergency). If you have an emergency and need emergency temporary orders you may consider filing an Ex Parte Request for. Order. Forms ; Change Request Application ; Form Number, Form Name ; 284-288, Application for a Refund ; 284-092, Change of Applicant Request Form. In order for another healthcare provider to forward your medical records to us, they will need a medical records release form completed and submitted to them. Just type in the name of the form. Your required training must be completed before being approved.