New York State Department of Motor Vehicles DRINKING DRIVER PROGRAM CONSENT FOR RELEASE OF INFORMATION INSTRUCTIONS: Give a copy of this form to the participant. Programs must keep a copy of each signed form for six (6)

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Date: 2014-11-27 19:02:42 Privacy law Consent Law Data privacy Health Insurance Portability and Accountability Act		New York State Department of Motor Vehicles DRINKING DRIVER PROGRAM CONSENT FOR RELEASE OF INFORMATION INSTRUCTIONS: Give a copy of this form to the participant. Programs must keep a copy of each signed form for six (6) Add to Reading List Source URL: dmv.ny.gov Download Document from Source Website File Size: 169,24 KB Share Document on Facebook