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Federal Educational Rights and Privacy Act (FERPA) Release of Information Authorization Form

In accordance with the Federal Guidelines for distribution of Personal Information, I hereby authorize WWU to release my student record information to third parties as specified below.

Student Information
  1. A value is required.
  2. A value is required.
  3. A value is required.
  4. A value is required.
    (The inclusion of your social security number on this application confirms your SSN for the 1098-T tax information.)
Financial
  1. I authorize WWU Student Financial Services Office to release financial aid and billing information to the following individuals:

  2. List names of persons authorized to have access to my financial files:
  3. NameRelationship to student
Academics
  1. I authorize WWU Academic Dean’s Office, Registrar’s and faculty to release academic information to the following individuals:

  2. Check here if authorized persons are the same as listed above.

    List names of persons authorized to have access to my academic files:
  3. NameRelationship to student

I understand that by completing this form, any previously submitted FERPA authorizations will be null and void.