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Authorization to Release References & Records Template

Authorize a landlord, employer or school to share references or records with a named recipient.

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SimpleFullPlain-English Summary

Full: detailed and comprehensive, with optional clauses you can switch on.

This template is not legal advice; consult a licensed attorney in your state. Laws, required disclosures and signing formalities (witnesses, notarization, recording) vary by state and county.
E-Sign Auto is not a law firm and does not provide legal advice.

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1. Parties2. Details

Parties

Signing order: Individual → Recipient (acknowledgment). Each signer is invited after the previous one signs.

1. Individual
2. Recipient (acknowledgment)

Signature, date and name fields are added for every signer automatically.

Details

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Signature, initials (every page) and date fields are placed for each party. You can review and adjust them before sending.

Live preview

What the sections mean (plain English)
RELEASE
Rights or claims being given up.

How to use this Authorization to Release References & Records template

  1. Answer the guided questions. Your name and company fill in automatically from your profile.
  2. Pick the governing state and complete the [STATE-SPECIFIC] blanks. Switch optional clauses on or off.
  3. Check the live preview, then create the document. Signature, initial and date fields are placed for each party.
  4. Review the fields and send. Each party signs in order, and everyone gets the signed PDF.

Frequently asked questions

Is this Authorization to Release References & Records template free?

Yes. You can fill it in, download it and send it for electronic signature with a free E-Sign Auto account.

Is an electronically signed Authorization to Release References & Records legally binding?

In the U.S., the federal ESIGN Act and state UETA laws generally give e-signatures the same effect as handwritten ones. Check your state's rules.

Does this template work in my state?

It is a generic, state-neutral starting point. Pick your governing state and complete every blank marked [STATE-SPECIFIC]. This template is not legal advice; consult a licensed attorney in your state.

Who signs, and in what order?

Individual, then Recipient (acknowledgment). Each signer gets a secure link in that order, with signature, initial and date fields already placed.