Skip to form

Morris County Office of Temporary Assistance

340 West Hanover Ave. Morristown, NJ 07960



Note: Each person (including authorized representatives, guardians, and adult household members) must submit their own copy of this form.

I give my permission to the Office of Temporary Assistance to receive information from and to discuss my case with the following agencies, individuals, or their designated representatives:

Agencies, individuals or their designated representatives

Add a new name
This release is time limited and the information will be used only for professional purposes by people providing services and its confidential nature will be respected.


Choose how to sign