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1. Student Information: Full name, student ID, date of birth, current address of the student whose records are to be released
2. Educational Institution Details: Name, address, and contact information of the institution holding the records
3. Records Description: Specific and detailed description of which educational records are authorized for release
4. Recipient Information: Name, title, organization, and contact details of person/organization authorized to receive records
5. Purpose Statement: Clear statement of the purpose for which the records are being released
6. Duration of Authorization: Specific time period for which the authorization remains valid
7. Authorization Statement: Formal statement of consent including acknowledgment of rights under FERPA
1. Specific Restrictions: Optional section detailing any limitations or restrictions on what information can be shared
2. Third Party Sharing Authorization: Optional section granting permission for recipient to share information with specified third parties
3. Electronic Release Authorization: Optional section specifically authorizing electronic transmission of records
4. Revocation Rights: Optional section detailing the right to revoke authorization and process for doing so
1. Identity Verification Documents: Appendix for attaching copy of photo ID or other required verification documents
2. Parent/Guardian Documentation: Schedule for including proof of authority when request is made for minor or dependent student
3. Detailed Records Request List: Schedule listing specific documents being requested when multiple record types are involved
Student
Educational Institution
Directory Information
Authorized Recipient
FERPA
Disclosure
School Official
Legitimate Educational Interest
Parent
Eligible Student
Personally Identifiable Information
Record Custodian
Release Authorization
Confidential Information
Academic Records
Third Party
Consent
Protected Information
Educational Rights
Scope of Authorization
Records to be Released
Purpose of Disclosure
Duration of Authorization
Revocation Rights
Confidentiality
Re-disclosure Limitations
Electronic Transmission Authorization
Rights of the Student
Photocopying Permission
Liability Release
Data Protection
Authentication
Notice Requirements
Governing Law
Signature Requirements
Certification of Identity
Records Delivery Method
Amendment Process
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Genie’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; Genie’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it


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