Release Of Student Information Form for the United States

Release Of Student Information Form Template for United States

A Release of Student Information Form is a legal document used in the United States that complies with FERPA regulations and allows educational institutions to share protected student information with specified third parties. The form serves as written consent from the student or parent/guardian, explicitly stating what information can be released, to whom, and for what purpose. It includes provisions for protecting student privacy rights while facilitating necessary information sharing for educational or administrative purposes.

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What is a Release Of Student Information Form?

The Release Of Student Information Form is essential for educational institutions operating in the United States to maintain compliance with FERPA and other privacy regulations while facilitating necessary information sharing. This document becomes necessary when a student's protected information needs to be shared beyond the standard directory information or outside of FERPA's permitted exceptions. It provides a formal mechanism for students or their guardians to authorize the release of specific educational records, ensuring both legal compliance and protection of student privacy rights.

What sections should be included in a Release Of Student Information Form?

1. Student Information: Basic identifying information about the student including name, ID, date of birth, and current educational institution

2. Parent/Guardian Information: Contact details and identification of parent/guardian if student is under 18 or not an eligible student

3. Information to be Released: Specific details and categories of information authorized for release, including academic records, attendance, disciplinary records, or other specified information

4. Purpose of Release: Clearly stated purpose for why the information is being released and how it will be used

5. Recipient Information: Details about who is authorized to receive the information, including name, organization, and contact information

6. Duration: Time period for which the release authorization remains valid and expiration date if applicable

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

What sections are optional to include in a Release Of Student Information Form?

1. Health Information Release: Additional authorization section specifically for the release of medical records and health information maintained by the educational institution

2. Digital Content Release: Specific authorization for release of photos, videos, or online content related to the student

3. Third Party Disclosure: Additional authorization section for sharing information with parties beyond the primary recipient

What schedules should be included in a Release Of Student Information Form?

1. FERPA Rights Notice: Detailed explanation of rights under FERPA including right to inspect records, request amendments, and file complaints

2. Directory Information List: Comprehensive list of what the institution considers directory information under FERPA

3. State-Specific Addendum: Additional provisions and notices required by applicable state privacy laws

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

United States

Publisher

Genie AI

Cost

Free to use
Industries

FERPA: Family Educational Rights and Privacy Act - Primary federal law protecting student education records privacy, applies to federally funded schools, controls educational record disclosure, and defines directory vs. protected information

PPRA: Protection of Pupil Rights Amendment - Protects student privacy in surveys and evaluations, requires parental consent for certain types of information collection

State Privacy Laws: Individual state-specific education privacy laws that may impose additional or stricter requirements than federal legislation for student information protection

COPPA: Children's Online Privacy Protection Act - Applies to online collection of information from children under 13, must be considered if form involves digital data collection

HIPAA: Health Insurance Portability and Accountability Act - Relevant when release includes student health information, intersects with FERPA for school health records

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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