Free Standard Release of Information Form Template
Standard Release of Information Form
Complete this form to authorize the release of your information.
Name
Date of Birth
Contact Number
Information to be Released
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Academic Record
-
Enrollment Verification
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Financial Records
Purpose of Release
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Personal Use
-
Application
-
Financial Aid Processing
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Acknowledgment
I understand that once information is released, the Institution cannot guarantee its continued confidentiality. I have read and understand this form. I authorize the release of my information as specified above.
Name:
Date:
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