Authorization Form Third Party Authorization Form Authorization to Keyork Immigration Law to communicate and disclose confidential file information to a third party. Email * Name of Third Party * Name of Third Party First Name First Name Last Name Last Name I authorize Keyork Immigration Law (lawyer and staff members) to communicate in person, by courier, email and phone with (name above) with respect to the processing of my immigration application (s) at Keyork Immigration Law. This authorization will immediately end once I have provided you with my written instruction to do so. I also understand that should there be a known or perceived conflict between myself and (name above), Keyork Immigration law will cease immediately to communicate with (name above) given that I am the client of the firm as per the Retainer Agreement. Signature of Applicant * signature keyboard Clear Submit Start Over If you are human, leave this field blank.
