In the complex landscape of legal and personal record sharing, the Wisconsin Department of Corrections provides a structured means via the Wisconsin Doc 1163 form. This document serves a pivotal role by authorizing the release of non-health confidential information under specific regulatory umbrellas including the Wisconsin Statutes - Sections 19.35, 19.36 & 118.125, alongside federal regulations outlined in 42 CFR Part 2 & 45 CFR Parts 160 & 164. It distinguishes itself by prohibiting the use for health information disclosure, directing such needs to form DOC-1163A instead. The form meticulously defines the spectrum of information that can be disclosed, spanning educational achievements, employment history, and disciplinary actions, yet emphasizes the protection of personally identifiable information (PII). It underscores the rights of individuals regarding the authorization process, the conditions under re-disclosure laws, and the time frame of the authorization's validity. Through checkboxes and specified fields, it facilitates a tailored authorization that resonates with the individual's intentions, whether for educational/vocational planning, employment verification, or legal requirements. Signature blocks and directives ensure that the authorization accurately reflects the wishes of the individual, underscoring the importance of informed consent in the release of confidential records.
| Question | Answer |
|---|---|
| Form Name | Wisconsin Doc 1163 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | department of corrections forms, wi doc non health online, wi authorization confidential information printable, wisconsin doc authorization confidential |
