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  • Release of Health Information
  • Click to view (pdf or doc)
  • For UK employees only. Authorize an individual to contact the HR Benefits office and receive information regarding UK benefits on employee’s behalf.
  • Revision date: 04/04/2019
  • Submit paper form to 112 Scovell Hall, 1080 Export St Ste 280, Fax 859-323-1095
  • Email form back to