SFN 1059 - Authorization to Disclose Information 448-01-60-65

(Revised 3/1/12 ML #3304) 

View Archives

 

 

The SFN 1059 is available through the Department and may also be obtained electronically via E-Forms. (193 kb pdf)

 

E-Forms are presented in Adobe Acrobat and require the Adobe Acrobat reader. If you do not currently have Adobe Acrobat reader installed, you may download a free copy by clicking the Get Adobe Reader icon below.