LOMA LINDA UNIVERSITY
STUDENT FINANCE
STUDENT INFORMATION RELEASE REQUEST
Students are able to selectively grant permission for parents, spouses, or other third-parties to have online access to student accounts and
selected information.
Based on the permissions assigned, a selected third-party will be able to do one or more of the following online:
1. View student schedules/registration invoices
3. View monthly statements
4. View student account summary
To get started, go to the Student Services Login and select the “Parent/Other-Party Access” option on the “Students and Applicants”
menu. Help documentation is available at https://ssweb.llu.edu/stuhelp/parent-other-party-access-for-students.pdf
.
If a monthly paper student account statement or some other type of release (not covered online) is needed, please complete the following:
I give authorization for Loma Linda University Student Finance to release financial information from my student tuition account to the
following individual:
Name: ________________________________________________________ Relationship:___________________________________
I am authorizing the release of information for the following reason(s): (REQUIRED) _________________________________________
____________________________________________________________________________________________________________
I request that the individual listed above be granted the following services in addition to being allowed access to account information.
Please check all that apply:
To receive a paper copy (one individual only) of my monthly statement at:
(Address): ________________________________________________________________________________
(City, State, Zip): ___________________________________________ (Telephone): ______________________
Other: ___________________________________________________________________________________
I understand that I am responsible for notifying Student Finance of any changes regarding the release of account information and/or
services to the individuals I have listed above.
SBH AH SN SP
_______________________ ________________ _____________________ SD SM PH SR
PRINT NAME ID NUMBER SIGNATURE sCHOOL (Circle One)
PLEASE DELIVER FORM TO: LOMA LINDA UNIVERSITY
STUDENT FINANCE OFFICE
11139 ANDERSON STREET
LOMA LINDA, CA 92350
FAX: (909) 558-7904
Email: stfin@llu.edu
