By using this website, I authorize the exchange of information relating to prior assessment(s) for training and employment including work history and wage data.
This Release of Information does not authorize the disclosure of any medical information or any other restricted third-party information. I understand that this information will be used to determine eligibility for employment and training services, will assist in the development of my individual training plan for education and/or employment, and will be used for statistical purposes.
I allow this website and the identified system partners to release to each other the requested information when I am referred to partner services. I understand the information will be used only on an as needed basis and will remain confidential, to the extent required and/or permitted by law. This information cannot be shared with any other entity without my written permission. A copy of this Release of Information is as valid as the original. This Release is valid for both program and follow-up services.
