Fillable Parental Affidavit for Release of Financial/Personal Information (CUNY Kingsborough Community College)

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Parental Affidavit for Release of Financial/Personal Information (CUNY Kingsborough Community College)

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OFFICE OF FINANCIAL AID
For Administrative Use Only
Received By:
__________
Date:
___________
Student’s SS#: __________________________________
Parental Affidavit for Release of Financial/Personal Information
TO:
Financial Aid Administrator
FROM:
____________________________________________________________________________________________
(Parent’s Name) (Telephone #)
____________________________________________________________________________________________
(Street Address) (City) (State) (Zip)
Under Federal legislation, the Family Educational Rights and Privacy Act of 1974 (FERPA), I understand that my financial records
cannot be released to my child without my written consent.
I, therefore, request that the information listed below be released to my child: (e.g. 2015 Tax Return Transcripts)
Release my information to:
Parent’s Signature:
____________________________________
Date:
___________________
Student’s Signature:
____________________________________
Date:
___________________
Student’s EMPLID#:
____________________________________
___________________________________________________________________________________________________
(Student’s Name) (Telephone #)
___________________________________________________________________________________________________
(Street Address) (City) (State) (Zip)
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Parental Affidavit for Release of FinancialPersonal Information (CUNY Kingsborough Community College)

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Completed 21 September 2020

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