Please click the following link for a Brown Bag Program application:
Brown Bag Office Line: 334-794-4499
To all Brown Bag Participants:
The Social Security Office has informed us each applicant for the Brown Bag Program must sign a consent for release of personal information form. The new form will help prevent identity theft.
This consent form must be completed and signed only by:
• The person to whom the information or record applies; or
• The parent or legal guardian of a minor to whom the non-medical information applies.
To complete this form:
• Fill in the name, date of birth, and Social Security number of the person to whom the information applies.
• Sign and date the form. If you are not the person whose records need to be released, please state your relationship to that person.