This webpage provides you with an electronic version of the Client Consent for Data form. Please follow the appropriate link below to access and sign the electronic version of the form.

If you are a New York City resident, then click here to access the form

If you are a Hudson County, New Jersey resident, then click here to access the form

To make sure that you’ve submitted the form correctly, consider:  

• Did you initial next to either YES or NO in both Sections 1 & 2?
• Did you only initial once on each page?
• Did you sign Section 3?
• Did you press “submit”?

If you submit the Client Consent For Data form electronically, then you do not have to send a paper copy to God’s Love We Deliver.