CLICK HERE TO DOWNLOAD NOTIFICATION OF TRANSFER OF EDUCATION RECORDS
To: (Parent/Legal Guardian) ______________________________________ Date: _____________________
Address: ______________________________ City: ____________________ State: ________ Zip: ______
Please be notified that copies of the Linn-Mar Community School District's official education records concerning
(Full legal name of student) ________________________________ have been transferred to:
School District Name: _________________________________________________________
Address: ___________________________________________________________________
Upon the written statement that the student intends to enroll in said school system.
If you desire a copy of such records furnished, please check here _____ and return this form to the undersigned. A reasonable charge will be made for the copies.
If you believe such records transferred are inaccurate, misleading, or otherwise in violation of the privacy or other rights of the student, you have the right to a hearing to challenge the contents of such records.
Name of School District Official: _____________________________________________
Title: __________________________________________________________________
Adopted: 9/98
Reviewed: 7/13; 10/14; 12/20; 10/23
Revised: 8/17
Related Policy: 505.6; 505.6-R; 505.6-E2-E5; 505.6-E7
IASB Reference: 506.01-E(5)