Blue Earth County, MN · Blue Earth County
Consent for Release of Information
This consent form lets a client authorize Blue Earth County Community Corrections to disclose, obtain, or exchange specified information for supervision or court-ordered investigations.
At a glance
- Issued by
- City of Blue Earth County · Blue Earth County, Blue Earth County, Minnesota
- Notarization
- Not required: file this form without a notary.
- Official source
- blueearthcountymn.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Clients use this form to authorize Blue Earth County Community Corrections to disclose, obtain, or exchange selected personal information with named individuals or organizations. It asks for the client’s identifying details, the parties involved, information categories, purpose, signatures, and a probation officer’s name. The consent lasts until supervision ends unless revoked earlier in writing.
Who needs it
A Blue Earth County Community Corrections client who chooses to authorize information sharing for supervision or a court-ordered investigation should complete this form.
How to submit it
Forward the completed form to the probation officer named on it at Blue Earth County Community Corrections, PO Box 3245, Mankato, MN 56002-3245.
About notarization
This document is signed without a notary; the client and a witness sign and date it, with a parent or guardian signing if applicable.
How to submit this form
- 1
Download the Form
Download the Consent for Release of Information PDF.
- 2
Complete the Form
Provide client details, identify the people or organizations involved, select information and purpose, and enter the probation officer’s name.
- 3
Sign and Date
The client and a witness sign and date the form. A parent or guardian signs if applicable.
- 4
Forward to the County
Forward the completed form to the probation officer at Blue Earth County Community Corrections using the address listed on the form.
Frequently asked questions
- What does the Consent for Release of Information authorize?
- It lets Blue Earth County Community Corrections disclose, obtain, or exchange information selected by the client with named individuals or organizations.
- Do I need a notary for the Consent for Release of Information?
- No. The client and a witness sign and date the form; a parent or guardian signs if the client is under 18 or under legal guardianship.
- How do I submit the Consent for Release of Information?
- Forward the completed form to the probation officer named on it at Blue Earth County Community Corrections, PO Box 3245, Mankato, MN 56002-3245.