505.6-E5 - Parental Request for Examination of Education Records

CLICK HERE TO DOWNLOAD PARENTAL REQUEST FOR  EXAMINATION OF EDUCATION RECORDS


To: (Name of Student Attendance Center)_______________________________________

Address (Of Student Attendance Center) _______________________________________

As ________________________________________ (Relationship to Student) of ______________________________(Name of Student)

who was born on ________________________________________ and is currently in grade _________________________________.

I request to examine the following official education records:

_____________________________________________________________________________________

_____________________________________________________________________________________

Please check one of the following:

_____ I do

_____I do not

desire a copy of such records and I understand that a reasonable charge will be made for copies, if requested.

Signature: ________________________________ Date: ____________________________

Address: ___________________________ City: ____________________ State: ________ Zip: __________

Phone Number: _________________________________

Approved By:

Signature: _______________________________ Title: ________________________ Date: _________

 


Adopted: 9/98
Reviewed: 7/13; 10/14; 12/20; 10/23
Revised: 8/07; 8/17; 10/19
Related Policy: 505.6; 505.6-R; 505.6-E2-E4; 505.6-E6-E7
IASB Reference: 506.01-E(4)