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Office of the Registrar FER PA REVOCATION OF CONSENT TO RELEASE INFORMATION 2240 Iyannough Road West Barnstable, MA 02668 774.330.4711 Fax: 508.375.4084 registration@capecod.edu www.capecod.eduStudent
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How to fill out student revocation to release

01
Fill in the personal details of the student including name, student ID, and contact information.
02
Specify the reason for revocation to release such as transferring to a different institution or opting out of certain services.
03
Include details of the individual or organization to whom the revocation is being released.
04
Sign and date the document to make it legally binding.
05
Submit the completed form to the appropriate office for processing.

Who needs student revocation to release?

01
Students who wish to revoke their previous release of information to a third party.
02
Educational institutions or organizations that require written confirmation of a student's decision to revoke release of information.
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Student revocation to release is a legal document that allows a student to revoke their consent to release certain educational records.
The student or their legal guardian is required to file student revocation to release.
Student revocation to release can usually be filled out by providing personal information, specifying which records to revoke consent for, and signing and dating the document.
The purpose of student revocation to release is to protect the privacy of the student by limiting who has access to their educational records.
Student revocation to release must include personal information of the student, details of the records to be revoked, and a signature.
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