Cancellation of Third Party Authorization Form

The Cancellation of Third Party Authorization form stops all third party access to a client's case. Once the third party access is cancelled, only the payor or recipient will be able to receive information about their case.

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Form Number 006-fro-015
Title Cancellation of Third Party Authorization Form
Description The Cancellation of Third Party Authorization form stops all third party access to a client's case. Once the third party access is cancelled, only the payor or recipient will be able to receive information about their case.