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California State University Los Angeles Housing and Residence Life 5300 Paseo Rancho Castilla Los Angeles CA 90032-8647 Office 323 343-4800 Fax 323 343-6465 Email askhousing calstatela.edu Website www. Student Signature Date You may submit this form via email fax snail mail or in person. OFFICE USE ONLY Received Note Entered in StarRez Note Removed from StarRez By Date //. Calstatela.edu/housing FERPA Rev. 6/29/2017 Student Authorization to Release Information Student Information Name CIN...
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