© 2021 Shared Blessings
1558 S. Main McAlester, OK 74501
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Release of Information
I hereby authorize the release of information to Shared Blessings to receive the assistance I am requesting. I further certify the information I have stated is true and correct and that all income is reported. I understand Shared Blessings may verify the information on this application and that deliberate misrepresentation of information may subject me to denial of assistance/services.
I give permission for Shared Blessings to discuss my case with other agencies, businesses, churches, attorneys, individuals, and any other deemed necessary to verify application information and/or identify additional sources of assistance. I understand that all information will remain private as possible within these entities.
I have read, understood, and agree to the policies above regarding the release of information.
"Shared Blessings has helped us in a really hard time in life. They were kind and made us feel welcomed. We are so grateful for all of their help."
- Cindy W.