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<br /> Sent By: HawCC OCET; 9747487; Oct-1B-02 72:44PM; Page 4/b <br /> tirn~.wrrsa <br /> *~M w+d'4 R..x r.a.x rrr a ramr <br /> HUINET Client Authorization and Consent Fonn <br /> AUTHORIZATION AND CONSENT TO PARTICIPATE IN THE HUI INTERNET/DATABASE SYSTEM <br /> The HUI Intranet/database System should fadlitate easier dlent check In with a9endes, <br /> allow for disseminaffon of vital information to the dfent and provide faster referrals to <br /> other available seMces that are a part of the HUI. <br /> aloes authorization to the RURAL DEVELOPMENT <br /> PROJECT to enter my diem record and refaffve Information Into The HUI <br /> IntranetJdatabase System <br /> 1. Purpose: The purpose of this form is to obtain your consent to partidpate In a <br /> shared database. <br /> 2. Confldentlality: Reasonable and appropriate efforts have been made to reduce the <br /> risk of unauthorized breaches of confldenffality. <br /> Name <br /> Date <br /> <br />