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OfficeofAcademicOutreach
Discredit/Disenrollment:AuthorizationtoReleaseNonDirectoryInformation
NOTE:Youmayprintthisform, completeitandfaxorbringittotheOfficeofAcademic
Outreach;however, allrequestsMUSTbeaccompaniedbyacopyofyourdriverslicenseor
otherofficialidentificationthatincludesasignature.
PrintStudentName:SignatureofStudent:
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How to fill out authorization-to-release dc

How to fill out authorization-to-release dc
01
Obtain the authorization-to-release form from the appropriate agency or organization.
02
Fill in your personal information, such as name, address, and contact information.
03
Specify the information or records that you are authorizing to be released.
04
Sign and date the form to certify your authorization.
05
Submit the completed form to the agency or organization as per their instructions.
Who needs authorization-to-release dc?
01
Individuals who want to authorize the release of their information or records to a specific person or entity.
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What is authorization-to-release dc?
Authorization-to-release dc is a document that grants permission for the release of certain information or documents.
Who is required to file authorization-to-release dc?
Any individual or organization that needs to release information or documents to a specific party.
How to fill out authorization-to-release dc?
Fill out the necessary information such as the requester's name, the information to be released, and the purpose of the release.
What is the purpose of authorization-to-release dc?
The purpose of authorization-to-release dc is to ensure that information is released only to authorized parties.
What information must be reported on authorization-to-release dc?
The information to be released, the requester's name, and the purpose of the release.
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