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AUBURN PUBLIC SCHOOLS CONSENT FOR DISSEMINATION OF STUDENT RECORDS/INFORMATION___ Name of Student___ SAID___ GRADE___ SCHOOLS give permission for the following school district/third party to receive

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How to fill out withdrawalauthorization to release student

01

Fill out the student's information including name, student ID number, and contact information.

02

Specify the reason for the withdrawal authorization and provide any relevant details.

03

Sign and date the form to indicate your consent for the release of the student.

Who needs withdrawalauthorization to release student?

01

Parents or legal guardians of the student

02

Authorized representatives of the student

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What is withdrawalauthorization to release student?

Withdrawal authorization to release student is a form that allows a student's information to be released to a specified party.

Who is required to file withdrawalauthorization to release student?

The student or their legal guardian is required to file withdrawal authorization to release student.

How to fill out withdrawalauthorization to release student?

Withdrawal authorization to release student can be filled out by providing the student's information, specifying the party authorized to receive the information, and signing the form.

What is the purpose of withdrawalauthorization to release student?

The purpose of withdrawal authorization to release student is to allow specific information about a student to be shared with authorized parties.

What information must be reported on withdrawalauthorization to release student?

The information reported on withdrawal authorization to release student may include student's name, ID number, date of birth, contact information, and the party authorized to receive the information.

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