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ST. MARY S COUNTY PUBLIC SCHOOLS Department of Student Services STUDENT RECORD RELEASE (To Be Completed by Parents/Legal Guardians) HIPAA Compliant Authorization for Exchange / Release of Immunizations

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How to fill out student record release form

How to fill out student record release form:

01

Begin by reviewing the instructions provided with the form. These instructions will guide you on the specific details that need to be filled out.

02

Start by entering your personal information, such as your full name, date of birth, and student identification number.

03

Provide the name and contact information of the educational institution or organization that will be receiving your student records.

04

Indicate the type of records you are authorizing to be released. This may include academic transcripts, disciplinary records, or any other relevant documents.

05

Specify the time frame or specific dates for which you are authorizing the release of your records. This could be a one-time release or an ongoing authorization.

06

If applicable, include any additional instructions, such as whether the records should be mailed, faxed, or emailed, and to whom they should be addressed.

07

Read through the form carefully to ensure all the information is accurate and complete.

08

Sign and date the form, indicating your consent to release your student records.

09

Make a copy of the completed form for your records before submitting it to the appropriate person or office.

Who needs student record release form?

01

Students who are applying for admission to another educational institution may need to fill out a student record release form to authorize the transfer of their academic records.

02

Employers who require proof of education or academic achievements may request a student record release form from potential employees to obtain the necessary records.

03

Education agencies, government organizations, or scholarship committees may also request a student record release form to access the educational background and performance of an individual for evaluation purposes.

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What is student record release form?

Student record release form is a document that authorizes the release of a student's academic records to a specified individual or organization.

Who is required to file student record release form?

Parents or legal guardians of the student are usually required to file the student record release form.

How to fill out student record release form?

You can fill out the student record release form by providing your personal information, the student's information, and specifying who the records should be released to.

What is the purpose of student record release form?

The purpose of the student record release form is to ensure that the student's academic records are only shared with authorized individuals or organizations.

What information must be reported on student record release form?

The student record release form typically requires information such as the student's name, student ID number, school name, and the name of the individual or organization the records should be released to.

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