(Group Name) respects your right to privacy. All of your personal information will be kept confidential.
(Group Name) would like to use some or all of the information and evidence collected during the investigation for possible
inclusion in our website, newsletter and other future media considerations. Please check the level of confidentiality you
would like to request:
___ (Group Name) may not release any part of the investigation to the public.
___ (Group Name) may release the information providing that the identity of witnesses and clients
are changed and the exact address of the location is excluded.
___ (Group Name) may release any/all of the information and evidence collected during the investigation.
___ Other comments/requests______________________________________ ______________________________________________________________
Signed___________________________ Date___________
Witness__________________________ Date___________
