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UNOFFICIAL 1702-5 C.F.R. §431.301) (Imp: HRS §§346-10, 571-84, 325-101; 42 C.F.R. §431.306)

§17-1702-6 Disclosure of information to individuals or agencies. (a) Disclosure to individuals or agencies other than those specified in section 17-1702-5 shall be allowed only when a written authorization has been obtained from the applicant, the recipient, or the legal guardian of the applicant or recipient. The written authorization shall specifically include the applicant's, recipient's, or legal guardian's consent to have the information released or the record reviewed; (1) When individuals or agencies other than applicants, recipients, or legal guardians of applicants or recipients wish to obtain information, or to review a department record, the requesting party shall submit an authorization signed and dated by the applicant, recipient, or legal guardian of the applicant or recipient specifying: (A) The name of the individual or agency authorized to receive the information or to review the record, and the individual's agency connection, if any; (B) The specific information the department is authorized to release and the purpose for which the information is being sought; (C) Applicant or recipient's social security number or birthdate, and address; and (D) The expiration date, or expiration event that relates to the applicant or recipient or the purpose of the authorization, and also specifying that if no expiration date or expiration event is specified the authorization shall expire one year from the date the authorization is signed; (2) Reproduced copies of information requested shall be provided at a cost related to the cost of reproduction. When the information is required for the purpose of presenting the applicant's or recipient's administrative