Release of Information-Additional Permission
Email *
Name *
I authorize Hunterdon County Educational Services Commission to release my records to (type name of individual or agency): *
Please check all records that you give permission to share with the above referenced individual or agency. *
The above referenced individual or agency phone number. *
The above referenced individual or agency email address. *
My typed signature below is an acknowledgement that I have read, understand and voluntarily consent to the release of the above mentioned records to the above mentioned individual or agency. *
Today's Date *
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