This is an official form from the Washinton Judicial System, which complies with all applicable laws and statutes. USLF amends and updates the forms as is required by Washington statutes and law.
Vancouver Washington DSS 09-966 — Authorization to Release Information to the Court: A Comprehensive Overview The Vancouver Washington DSS 09-966 — Authorization to Release Information to the Court is a crucial form used by the Washington State Department of Social and Health Services (DSS) to obtain consent from individuals or organizations to release sensitive information to the court. This document plays a vital role in legal proceedings, allowing the court to gather relevant information from various sources to make informed decisions. Types of Vancouver Washington DSS 09-966 Forms: 1. DSS 09-966 Child Welfare: This specific type of authorization form is relevant in cases involving child welfare. It assists the court in obtaining necessary information related to child protection, custody, or foster care. Individuals or organizations involved in the child's life, such as social workers, psychologists, schools, or healthcare providers, may be asked to complete this form. 2. DSS 09-966 Mental Health: This particular authorization form is utilized in cases where mental health-related information needs to be presented in court. Mental health professionals, counselors, therapists, or treatment facilities are commonly asked to complete this form to disclose relevant records, diagnoses, treatment plans, or therapist-patient communications. 3. DSS 09-966 Substance Abuse: In situations involving substance abuse-related legal proceedings, this type of authorization form allows the DSS to collect information pertinent to the case. It allows substance abuse treatment centers, counselors, or medical providers to release records, drug test results, treatment histories, or other relevant information to aid the court in making informed decisions. Key Information and Sections Found in Vancouver Washington DSS 09-966: 1. Identification: The form starts with the identification section, requiring the individual's or organization's name, address, contact information, and date of birth. This section ensures that the correct person or entity is authorizing the release of information. 2. Court Case Information: This section asks for specific court case details, including the case name, number, judge's name, court location, and the purpose for which the information will be used. Providing accurate court case information allows the court to link the released information to the correct case. 3. Scope of Release: Here, the form specifies the duration or period for which the authorization is valid. This may include a deadline or an open-ended authorization until revoked. 4. Information to be Released: This section outlines the specific types of information that can be disclosed, such as medical records, mental health evaluations, educational records, employment history, financial information, or any other pertinent documents. The form may include checkboxes or allow space for additional descriptions. 5. Parties Authorized releasing Information: In this section, the form requests the names and contact information of the individuals or organizations authorized to release information on behalf of the authorizing party. This ensures that the court knows who is allowed to share the requested information. 6. Signature and Date: Finally, the Vancouver Washington DSS 09-966 form concludes with a space for the authorizing party's signature and the date of signing. By signing, the authorizing party confirms their consent to release the specified information to the court. It is crucial to note that the Vancouver Washington DSS 09-966 — Authorization to Release Information to the Court form is a legal document with strict confidentiality measures. All parties involved must handle the disclosed information responsibly and securely, ensuring compliance with relevant privacy laws and regulations.Vancouver Washington DSS 09-966 — Authorization to Release Information to the Court: A Comprehensive Overview The Vancouver Washington DSS 09-966 — Authorization to Release Information to the Court is a crucial form used by the Washington State Department of Social and Health Services (DSS) to obtain consent from individuals or organizations to release sensitive information to the court. This document plays a vital role in legal proceedings, allowing the court to gather relevant information from various sources to make informed decisions. Types of Vancouver Washington DSS 09-966 Forms: 1. DSS 09-966 Child Welfare: This specific type of authorization form is relevant in cases involving child welfare. It assists the court in obtaining necessary information related to child protection, custody, or foster care. Individuals or organizations involved in the child's life, such as social workers, psychologists, schools, or healthcare providers, may be asked to complete this form. 2. DSS 09-966 Mental Health: This particular authorization form is utilized in cases where mental health-related information needs to be presented in court. Mental health professionals, counselors, therapists, or treatment facilities are commonly asked to complete this form to disclose relevant records, diagnoses, treatment plans, or therapist-patient communications. 3. DSS 09-966 Substance Abuse: In situations involving substance abuse-related legal proceedings, this type of authorization form allows the DSS to collect information pertinent to the case. It allows substance abuse treatment centers, counselors, or medical providers to release records, drug test results, treatment histories, or other relevant information to aid the court in making informed decisions. Key Information and Sections Found in Vancouver Washington DSS 09-966: 1. Identification: The form starts with the identification section, requiring the individual's or organization's name, address, contact information, and date of birth. This section ensures that the correct person or entity is authorizing the release of information. 2. Court Case Information: This section asks for specific court case details, including the case name, number, judge's name, court location, and the purpose for which the information will be used. Providing accurate court case information allows the court to link the released information to the correct case. 3. Scope of Release: Here, the form specifies the duration or period for which the authorization is valid. This may include a deadline or an open-ended authorization until revoked. 4. Information to be Released: This section outlines the specific types of information that can be disclosed, such as medical records, mental health evaluations, educational records, employment history, financial information, or any other pertinent documents. The form may include checkboxes or allow space for additional descriptions. 5. Parties Authorized releasing Information: In this section, the form requests the names and contact information of the individuals or organizations authorized to release information on behalf of the authorizing party. This ensures that the court knows who is allowed to share the requested information. 6. Signature and Date: Finally, the Vancouver Washington DSS 09-966 form concludes with a space for the authorizing party's signature and the date of signing. By signing, the authorizing party confirms their consent to release the specified information to the court. It is crucial to note that the Vancouver Washington DSS 09-966 — Authorization to Release Information to the Court form is a legal document with strict confidentiality measures. All parties involved must handle the disclosed information responsibly and securely, ensuring compliance with relevant privacy laws and regulations.
