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   What is the signature date for CF-es 2613?

   • ESS Specialist Signature Date CF-ES 2613, PDF 08/2021 [65A-1.205, F.A.C.] Author Marty Smalley Created Date 4/23/2013 2:51:24 PM

   FINANCIAL INFORMATION RELEASE Autorizacion Para Informe

   eds.myflfamilies.com/dcfformsinternet/search/opendcfform.aspx?formid=300

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   Do I need a signed authorization to release personal information?

   • Laws and regulations require that sources of personal information have a signed authorization before releasing it to us. Also, laws require specific authorization for the release of information about certain conditions and from educational sources. You can provide this authorization by signing a form CF-ES 2514.

   AUTHORIZATION TO DISCLOSE INFORMATION

   eds.myflfamilies.com/DCFFormsInternet/Search/OpenDCFForm.aspx?FormId=122

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   Who is the author of the CF-es 2613 (es specialist signature)?

   • (Firma(s)) Name(s) on Account: ___________________________________ (Nombre(s) en la Cuenta) ESS Specialist Signature Date CF-ES 2613, PDF 08/2021 [65A-1.205, F.A.C.] Author Marty Smalley Created Date

   FINANCIAL INFORMATION RELEASE Autorizacion Para Informe

   eds.myflfamilies.com/dcfformsinternet/search/opendcfform.aspx?formid=300

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2. eds.myflfamilies.com › DCFFormsInternet › SearchFINANCIAL INFORMATION RELEASE Autorizacion Para Informe Economico

   eds.myflfamilies.com › DCFFormsInternet › Search

   I hereby grant permission and authorize any bank, building association, employer, insurance company, real estate company, government agency or any financial institution of any kind or character to disclose to any agent of the Department of Children and Families full information as to my bank accounts, earnings, insurance policies, property or ...

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     Financial Information Release (CF-ES 2613) Download....

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     Stand Up for Children. Stop Child Abuse - Contact the Abuse...

   • Authorization to Disclose Information

     for the release of information about certain conditions and...

3. www.myflfamilies.com › ess-formsEconomic Self Sufficiency Forms | Florida DCF

   www.myflfamilies.com › ess-forms

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   Change Report Form; Verification of Dependent Care Expenses; Verification of Employment/Loss of Income; Verification of Shelter Expenses; Financial Information Release; Hearings Request for Public Assistance; Child Support Cooperation Notice; Child Support Cooperation Good Cause / Refusal to Cooperate; Rights and Responsibilities; Sample Fax ...

4. www.lawserver.com › law › stateFlorida Regulations 65A-1.400: Forms for Client Notice and ...

   www.lawserver.com › law › state

   • Cached

   (j) CF-ES Form 2613, Oct 05, Financial Information Release (k) CF-ES Form 2635, Sep 02, Protective Payee Agreement (l) CF-ES Form 2700, May 10, Health Insurance Application for Pregnant Women (m) CF-ES Form 2701, Feb 03, Request for Length of Treatment Information (n) CF-ES Form 2930, Apr 07, Screening for Expedited Medicaid Appointment

5. flrules.elaws.us › fac › 65a-165A-1.400. Forms for Client Notice and Contact - State of Florida

   flrules.elaws.us › fac › 65a-1

   • Cached

   Jun 4, 2018 · 342 (i) CF-ES Form 2514, Jul 03, Authorization to Release Medical Information 353 (j) CF-ES Form 2613, Oct 05, Financial Information Release 362 (k) CF-ES Form 2635, Sep 02, Protective Payee Agreement