Case Release Form

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Case Release Form
Date: ___________________
I have read the case entitled: _________________________________________________
and I hereby authorize the use of the material in this case supplied by my organization.
This case is released: [ ] without change
[ ] with corrections as indicated
Signature: ______________________
Position: ______________________
Company: ______________________
Or
[ ]
Case is based solely on public documents; therefore, no release is required.
Author(s) signature: ___________________________

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