FERPA Forms

FERPA Forms

FERPA Consent Form - Students may ask the University not to publicly disclose directory information, they may place limited privacy on their educational record or indicate who has access to their record. Current student may also use this form to revoke/cancel any previous request.

Revocation of Request to Withhold Directory Information - Former students may revoke/cancel the previous request for non-disclosure of directory information.

Consent to Release Confidential Information: One-Time Release - Utica University, in compliance with the Family Education Rights and Privacy Act of 1974 (FERPA), requires written consent of the student before releasing protected information from their record. To consent to the one-time release of confidential information to a third party, you must complete this form and return it to the Office of the Registrar. All information is required.

Contact Us

Craig P. Dewan

Craig P. Dewan

Registrar
122 White Hall
registrar@utica.edu
(315) 792-3195
(315) 792-3020 (fax)

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