Start A Record Request

Forms for Request of Government, Military, Veteran, Education or Tax Records

Authorization To Disclose Personal Health Information Release Form

Click the button below to access the form

View Form

FERPA Release Form

Click the button below to access the form

View Form

General Education Authorization Form

Click the button below to access the form

View Form

IRS Request for Copy of Tax Return

Click the button below to access the form

View Form

MI DHHS Form 5515 Consent to Share Behavioral Health Information

Click the button below to access the form

View Form

Michigan Department of Corrections- Medical Release Form

Click the button below to access the form

View Form

Michigan Department of State - BDVR-154

Click the button below to access the form

View Form

NARA Standard Form 180 - Military Records

Click the button below to access the form

View Form

SSA Consent for Release of Information - Form 3288

Click the button below to access the form

View Form

SSA Request for Earnings Records - Form 7050

Click the button below to access the form

View Form

State of MI- MDHHS Authorization to Release PHI

Click the button below to access the form

View Form

State of MI - UIA - Unemployment Insurance Agency - Form 6102

Click the button below to access the form

View Form

State of Michigan- Department of Treasury- Request & Consent for Disclosure of MI Tax Return- Form 4095

Click the button below to access the form

View Form

State of Michigan - Workers' Compensation Agency - Form WC155

Click the button below to access the form

View Form

The City of Detroit- Fire Department- DFD- EMS Division HIPAA Authorization to Disclose PHI

Click the button below to access the form

View Form

Requesting HR- Privacy Waiver, Authorization for Disclosure to 3rd Party & Certification of Identity

Click the button below to access the form

View Form

VA Authorization to Release Health Information - Form 10-5345

Click the button below to access the form

View Form

Start Your Record Request Today!

All records we receive are checked for accuracy and distributed within 24 hours of receipt via a secure online repository.

GET STARTED
  • Copyright Michigan Legal Copy, LLC 2025
  • Developed by ManoByte