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Reliant does not release personal information about its missionaries (collectively "Reliant Employed Missionaries" or "Reliant Associate Missionaries") to third parties unless there is consent from the Reliant missionary. Third Party Designees may include parents, spouses, children and others. 

You may grant Reliant permission to release certain information to a third party by submitting this form for each third party authorized to receive or access your personal information.  

Further, Reliant must contact information on file for someone to call in case of an emergency. 

Complete the form below

Note
  • If you do not see the form below, make sure you are logged in to your reliant.org Google Account on this browser. You can do this at mail.reliant.org or drive.reliant.org. Refresh this page after you sign in.
  • If you are on a mobile device or using Internet Explorer and have trouble reading the form, you can use this alternate link.If you do not have access to Google, you can use this PDF.


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