Fill and Sign the Grocery Quotation Format

CALIFORNIA STUDENT AID COMMISSION Print THIRD PARTY RELEASE FORM The Family Educational Rights and Privacy Act of 1974 (FERPA) was enacted to protect the privacy of educational records, to establish the right of students to inspect and review their education records and to provide guidelines for the correction of inaccurate or misleading statements. FERPA prohibits agencies and educational institutions from releasing confidential information about a student without the student's consent unless they are releasing that information to provide financial and award information to federal, state and campus personnel who have a legitimate need to know this information. Records may be released to a third party, including a parent or guardian, only after receiving student authorization. If you wish to allow a third party access to your confidential financial or award information, please complete the box below. Program: CAL GRANTS CHAFEE APLE Out of State APLE NGAPLE SNAPLE NF SNAPLE NSF Robert C. Byrd Child Development GRAD APLE GEAR UP LEPD Other Third Party Release I authorize the California Student Aid Commission to release my confidential financial and award information to the following person(s): Name(s): Address: I understand this consent release will expire five (5) years from the date signed. Student Name (print) Student Signature CSAC ID Number or SSN Date If you wish to cancel the right of a third party access to your confidential financial or award information, please complete the box below. Cancellation of Consent for Third Party Release I wish to cancel my authorization for the California Student Aid Commission to release my confidential financial and award information to the following person(s): Name(s): Address: I understand this cancellation is effective on the date received by the Commission. Student Name (print) Student Signature CSAC ID Number or SSN Date PLEASE RETURN THIS FORM TO: G-25 Rev. 07/08 CALIFORNIA STUDENT AID COMMISSION P.O. BOX 419029, RANCHO CORDOVA, CA 95741-9029 or FAX 916-464-8004