Consent to Disclosure Form

This Consent to Disclosure of Tax Return Information form is provided for Dalby, Wendland & Co., P.C., clients only. Please review the form samples below for accurate completion. Once you have completed the form, you may print it for authorized signatures. The completed and signed form can be scanned or faxed to your Dalby Wendland professional for processing.  We will do our best to provide the authorized information to the designated party in a timely manner.

PLEASE NOTE: Once we receive the completed and signed form, we will make telephone contact with the client for final verification prior to the release of any information!

DWC_ConsentToDisclosure_Example_P1

DWC_ConsentToDisclosure_Example_P2

To access the Consent to Disclosure form, click HERE.

For questions, or to fax your completed and signed form, contact us at:

Grand Junction  (970) 243-1921 phone  |  (970) 243-9214 fax
Glenwood Springs  (970) 945-8575 phone |  (970) 945-9236 fax
Montrose  (970) 249-7701 phone  |  (970) 249-8126 fax