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Release Background Authorization Form. This form must be completed, signed and printed legible.A. INFORMATION – This is the individual whose information will be released. The University of Mississippi. Authorization for Release of Protected Health Information. Mississippi Waiver and Authorization to Release Confidential Taxpayer Information ✓ easily fill out and sign forms ✓ download blank or editable online. To receive a copy of your medical records, please print and complete this authorization form. You may complete an online application here. All new employees must complete and return the following mandatory forms within 31 days of their hire date. Mississippi Background Inquiry.