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STATE OF HAWAI I DEPARTMENT OF EDUCATION CONSENT FOR RELEASE OF INFORMATION Student s Name Date of Birth Last Name First Name Middle Initial Grant permission to the Hawai i Department of Education Name of DOE School or Office Address City State Zip Code Department of Education Contact To q RELEASE q RECEIVE Phone Number Fax Number Check one the following document s /information on the above named student except that which is legally not subject to disclosure by law and is covered under the...
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