Authority to Release Personal Information to a Designated Individual (IMM 5475)

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  • Use your computer. The form may not open on tablets or mobile phones.
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  3. Click "Open
  4. Find the location where you saved the form, click on the file and click “Open

When to use this form

Use this form if you want to allow us to give your personal information, such as the status of your application, to someone who will not act as your representative.

Paper applications

Online applications

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