Authorization To Release Confidential Information To Third Party {14-0169} | Pdf Fpdf Doc Docx | Iowa

 Iowa   Workers Compensation 
Authorization To Release Confidential Information To Third Party {14-0169} | Pdf Fpdf Doc Docx | Iowa

Last updated: 9/20/2023

Authorization To Release Confidential Information To Third Party {14-0169}

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Description

Form 14-0169 - AUTHORIZATION TO RELEASE CONFIDENTIAL INFORMATION TO THIRD PARTY. The Iowa Division of Workers’ Compensation (DWC) must keep certain information confidential under Iowa Code section 10A.333. Completion of this form authorizes DWC to release confidential information to a third party. www.FormsWorkflow.com

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