Sample Authorization to Release School Records Letter

Sub – [Student Name whose records are being required]

Date of Birth – [….]

Social Security Number – […..]

 

To: [Name of the Registrar]

 

I/we hereby give our approval to [party name] or their representative to scrutinize, examine and make copies of all the records representing grades, attendance, involvement in supplementary activities, and other personal records relating to student [student name] from his/her date of  admission at [school name] till date.

Copies of this authorization are to be considered as valid as the original.
If the student is above 18 years old, use this signature block:

Dated: _______________

_____________________________________
Student sign

_____________________________________
Student name (please print)

In case student is a minor, use this signature block:

Dated: _______________

_____________________________________
Signature of parent or guardian

_____________________________________
Parent or guardian’s name (please print)

Download Sample Authorization to Release School Records Letter In Word Format

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