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5. I realize that my eligibility for services is not conditional upon my compliance with authorizing this form. Signature of student OR legal guardian/authorized person Date Staff and/or witness signature Rev. 2/02/17 Page 1 of 1. DISABILITY ACCOMMODATIONS SUPPORT SERVICES State University CHANNEL ISLANDS Disability Accommodations Support Services One University Drive Camarillo CA 93012 Arroyo 210 Phone 805-437-3331 Fax 805-437-8529 AUTHORIZATION FOR RELEASE OF CONFIDENTIAL INFORMATION...
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How to fill out csuci authorization for release

01
Obtain a copy of the CSUCI Authorization for Release form.
02
Read and understand the instructions provided on the form.
03
Fill out your personal information such as name, contact details, and student ID number.
04
Specify the information you want to authorize for release, such as academic records or financial information.
05
Indicate the duration of the authorization if applicable.
06
Review the form to ensure all information is accurate and complete.
07
Sign and date the authorization form.
08
Submit the completed form to the appropriate office or department for processing.

Who needs csuci authorization for release?

01
Students at CSUCI who wish to authorize the release of their personal information to a third party.
02
Parents or legal guardians who require access to their dependent student's records.
03
Employers or organizations that need verification of a student's enrollment or academic standing.
04
Any individual or entity that is authorized by the student to obtain specific information from CSUCI records.
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The CSUCI authorization for release is a form that allows a student to grant permission for the university to release their academic records or other personal information.
All students enrolled at CSUCI are required to file the authorization for release form in order to grant permission for the university to release their records.
To fill out the CSUCI authorization for release form, students must provide their personal information, specify what information they are authorizing the university to release, and sign the form.
The purpose of the CSUCI authorization for release is to protect the privacy of students by allowing them to control who has access to their personal information.
The CSUCI authorization for release form must include the student's name, ID number, the specific information they are authorizing the university to release, and any additional instructions or limitations.
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