A release form or waiver allows one person or entity to hold harmless another party for an act, debt, liability, or any other type of exposure that may exist. Download the forms below in Adobe PDF and Microsoft Word (.doc).
This form is to be filed by the contractor or supplier who/which under Contract with the owner performed labor, or furnished materials, services. For and in consideration of the amounts and sums received, the contractor or supplier waives, discharges, and releases any and all liens, claims, and rights to liens against the project or any funds needed for the construction of the owner’s project. For all other important details about the form, read the entire form.
This form is to be filed by a corporation (contractor or supplier) who/which under Contract with the principal contractor performed labor, or furnished materials, services in accordance with the project’s Contract. For and in consideration of the sums and amounts received, the contractor or supplier waives, releases and relinquishes any and all claims, rights or causes of action in equity or law.
This form is to be completed by the applicant authorizing a U.S Consular Office of the U.S.A to release information about herself/himself to the individuals. For the extent of the applicant’s rights to self-privacy, read the form carefully.
The 1-800-Medicare Authorization to disclose personal health information is a legal document which is used to advise Medicare of the person or persons you have selected to have access to your personal health information.
Medicare must have your written permission to give out your personal medical information. The applicant must complete this form and send to: Medicare BCC, Written Authorization Dept. PO Box 1270, Lawrence, KS 66044
Photograph Copyright Release Form.pdf Photograph Copyright Release Form.doc This form allows for a person that was previously photographed to have the pictures be released publicly. Must be signed by
Release of Lien.pdf Release of Lien.doc This form authorizes the exoneration of a debt being held against a property. This form when signed by the creditor, releases the claim against the property.
Hipaa Medical Release.pdf This form allows the release of a patient under the current HIPAA conditions.
Insurance Subrogation.pdf This form allows for your insurance company to verify that any person seeking payment for a caim is not receiving payments from any other insurance company.
Medicaid Subrogation.pdf This form must be completed in order to receive assistance from Medicaid. Fill in this form and submit to the medicaid office nearest you.