FINANCIAL AID RELEASE FORM
Student Signature Date
Student ID Number
Authorization for the Release of Financial Aid Information
By completing this form, you authorize the Financial Aid Oce at the University of Pittsburgh to discuss
information regarding all aspects of your nancial aid, except for information pertaining to your
academic progress, to the individuals whom you list below, including your parents, your spouse, or outside
organizations. Please note that this is a precautionary measure taken to protect your privacy.
This release will remain in eect until you revoke privileges in writing.
I ________________________________________, hereby authorize the University of Pittsburgh’s Financial Aid
Oce to provide information regarding my nancial aid to the person, agency, or program listed below.
Name Relationship Date of Birth
FORM ID: F20RIF REV:10.26.18