Utah > Statewide > Guardianship Of Minor
Affidavit For Release Of Confidential Information - Utah
| Affidavit For Release Of Confidential Information Form. This is a Utah form and can be used in Guardianship Of Minor Statewide . |
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AFFIDAVIT FOR RELEASE OF CONFIDENTIAL INFORMATION Name Address Telephone Date TO WHOM IT MAY CONCERN, I, , the undersigned Parent or Guardian of , a minor, give SchoolDistrict, and whosoever it chooses to represent it, my permission to have total and unrestricted access to any and all confi dential criminal records, proceedings, and information that involve Minor named above and which occurred or were already ongoing on or after . DATE DATE: Parent or Guardian of Minor August 2001 Affiadvit for Release of ConfidentialI nformation <<<<<<<<<********>>>>>>>>>>>>> 2 NOTARY CLAUSE STATE OF , COUNTY OF Affiant, , personally appearedbefore me, the undersigned Notary Public, and proved to me Affiants identity with documentation in the form of . And upon being sworn andunder oath, signed the preceding document entitled AFFIDAVIT FOR REL EASE OFCONFIDENTIAL INFORMATION in my presence and acknowledged and affirmed that the information contained in the document is true to the best of Affiants own personal knowledge and that Affiant has signed the document voluntarily for its stated purpose. DATE: Notary Public August 2001 Affiadvit for Release of ConfidentialI nformation
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