Skip to main content
You're logged in with MyAlex  |  Logout

City of Alexandria, VA

Search results cleared

Include archived pages
Most of the content here is written in English. Translate your search to find more content? Translating "" to English... Searching for English phrase ""
  • Live
  • Play
  • Services
  • Business
  • Government
  • Projects & Plans
  • Calendar
  • I want to…

Release of Information Forms

Authorization to Use and Exchange Information Forms
Page updated on March 1, 2022 at 3:26 PM

Domestic Violence, Sexual Assault & LGBTQ+ Task Force Menu

  • Department of Community & Human Services
  • Domestic Violence Program
  • Sexual Assault Center
  • LGBTQ+ Community, Task Force and Resources

Share

Share on Twitter Share on Facebook
Translate icon
Translate icon
XWARNING: You have chosen to translate this page using an automated translation system. This translation has not been reviewed by the City of Alexandria and may contain errors.

Forms

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

Contact Us
Alex311 | 703.746.4311
Follow Us
  • Facebook
  • Twitter
  • YouTube
Visitor Information

VisitAlexandriaVA.com

  • Emergency Hotlines
  • Social Media
  • Privacy & Legal
  • FOIA Requests
  • Departments
  • Jobs
  • Payments

Alexandria City Hall
301 King Street
Alexandria, VA 22314

City of Alexandria Seal
© 1995–2023 City of Alexandria, VA and others.
Hold on, redirecting...