Authorization to Use and Exchange Information Form

City of Alexandria Uniform Exchange Approved 1.23.20  |  English  
City of Alexandria Uniform Exchange Approved 1.23.20  |  Spanish
City of Alexandria Uniform Exchange Approved 1.23.20  |  Amharic
City of Alexandria Uniform Exchange Approved 1.23.20  |  Arabic

Release of Information Form for Alexandria Sexual Assault Center and Domestic Violence Program (Cannot use the form above)

DVP Release of Information  |  English
DVP Release of Information  |  Amharic
DVP Release of Information  |  Spanish
DVP Release of Information  |  Arabic

SAC Release of Information  |  English
SAC Release of Information  |  Amharic
SAC Release of Information  |  Spanish
SAC Release of Information  |  Arabic