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HDIAC Form 55





Request for Release of Limited Document - HDIAC Form 55

Separate Forms 55 must be completed for each Releasing Agency.

    • Complete Sections I, II, and III. Section IV may be completed if the information is available.
    • Contractors and Grantees must complete the Contractors Only portion for need-to-know purposes.
    • Enter your routing information in the User Routing block, if desired, for your internal control purposes.
    • Explain in detail your requirement for the document.
    • Include appropriate contract information and explain need-to-know in Section III.
    • If you have any questions, you may contact 865-535-0088, or email info@hdiac.org.

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