Release Of Educational Records Form for the United States

Release Of Educational Records Form Template for United States

A legally binding document used in the United States that authorizes an educational institution to release specified student educational records to designated third parties. The form must comply with FERPA requirements and applicable state laws, providing detailed information about the student, the records to be released, the purpose of release, and the intended recipient. It serves as written consent required under federal law for the disclosure of protected educational information.

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What is a Release Of Educational Records Form?

The Release Of Educational Records Form is a crucial document required under U.S. federal law whenever protected student information needs to be shared with third parties. This form ensures compliance with FERPA regulations and state privacy laws, protecting both the educational institution and the student's privacy rights. It becomes necessary when transferring schools, applying for employment, or sharing academic information with authorized parties. The form typically includes student identification details, specific records to be released, the purpose of release, recipient information, and time limitations for the authorization.

What sections should be included in a Release Of Educational Records Form?

1. Student Information: Basic identifying information about the student including name, ID, date of birth, and current/former enrollment status

2. Educational Institution Details: Information about the school/institution holding the records, including name, address, and department

3. Records to be Released: Specific description of which records are authorized for release, including type and date range of records

4. Purpose of Release: Stated reason for releasing the records and how they will be used

5. Recipient Information: Details of person/entity authorized to receive the records, including name, organization, and contact information

6. Duration of Authorization: Time period for which the release is valid and expiration date if applicable

7. Signature Block: Space for required signatures, dates, and witness signatures if needed

What sections are optional to include in a Release Of Educational Records Form?

1. Health Records Authorization: Additional authorization specifically for release of medical or health-related educational records under HIPAA requirements

2. Electronic Delivery Authorization: Specific consent for electronic transmission of records and acknowledgment of associated risks

3. Third Party Access Limitations: Specific restrictions on further sharing or redistribution of released information

What schedules should be included in a Release Of Educational Records Form?

1. Records Checklist: Detailed itemized list of specific records to be released, including academic, disciplinary, health, or other records

2. Privacy Notice: Standard FERPA privacy rights notification and explanation of student rights regarding educational records

3. Fee Schedule: Schedule of any applicable fees for records retrieval, copying, or transmission

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Student Services
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Registrar
School Administrator
Compliance Officer
Academic Advisor
Privacy Officer

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What is a Release Of Educational Records Form?

What sections should be included in a Release Of Educational Records Form?

What sections are optional to include in a Release Of Educational Records Form?

What schedules should be included in a Release Of Educational Records Form?

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