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Reliant does not release personal information about its employees to third parties unless there is consent from the Reliant employee. 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 have contact information on file for someone to call in case of an emergency. Please use this form to update your emergency contact and indicate what information we can discuss with that individual. 

Complete the form below.

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