File Release Form
I, , give my consent for the Lo-Se-Ca Foundation to release information whether verbal or written from my human resource file to the following people and/or agencies for the following reasons:
Please initial beside the areas that you choose.
Job related reference check
Financial institutions requesting information
Other agencies requesting proof of training certification
Educational institutions requesting a reference check
Lo-Se-Ca Staff phone list (circulated to all programs)
I understand that information will not be released unless it is specified as above or other written consent has been obtained. This consent will be reviewed annually and may be changed or revoked at any time by the employee with written notice.
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: File Release Form
Agree & Sign