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Field Ops Memo 2005-49: DTA's Collateral Contact Client Information Release Form


A new form has been developed to obtain applicant/recipient permission for the Department to use collateral contact for the purpose of obtaining TAFDC, EAEDC, EA and Food Stamp verifications. The Voluntary Authorization to Release Information form (see Attachment A) is to be used in situations where verification must be made through collateral contact because documentary evidence is unavailable. One form must be completed for each contact to preserve the confidentiality of each organization, employer or individual. It is not a standard form to be signed by all applicants/recipients for all situations, but must be used only when the applicant/recipient agrees to collateral contact.

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