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I authorize the exchange of information relating to prior assessment(s) for Contractor Registration with Contractor Registration System Partners. This Release of Information does not authorize the disclosure of other restricted third party information. I understand that this information will be used to determine contractor's work profile, engagements with other contractors, project permit requirement, registration fee exemption eligibility, and will be used for statistical purposes.

I allow the Contractor Registration System Partners identified to release to each other the requested information when I am referred to partner services. I understand the information will be used only on as needed basis and will remain confidential, to the extent required and/or permitted by law. This information cannot be shared with any other entity without my written permission.

A copy of this Release of Information is as valid as the original. This Release is valid for both program and follow-up services.

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