Chapter 1 - FORM 1-20 : AUTHORIZATION TO RELEASE SECURITY RECORDS

JurisdictionColorado

Form 1-20: Authorization to Release Security Records

AUTHORIZATION TO RELEASE SECURITY RECORDS

TO: __________
RE: Name: __________
Social Security No.: __________
Date of Birth: __________

This form will serve to authorize the above-referenced institution, or a custodian of records designated by that institution, to release to the law firm of [name of law firm], c/o [name and address of attorney], or their representatives, [name of person whose records are being requested]'s personnel security file and all records relating to [name of person whose records are being requested]'s national security file.

Information will be at the request and expense of [name of law firm]. This authorization will be valid for one year from the date of this authorization.

A PHOTOSTATIC COPY OF THIS AUTHORIZATION TO RELEASE...

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