School Records Request Form

In accordance with the Federal Education Rights and Privacy Act of 1974 (FERPA), a signed authorization with proof of identity must accompany all requests for student transcripts.

Authorization For Release of Information


I hereby authorize release of the above student records from:
39 Academy Street
Williamsville, NY 14221

I certify that I am the person whose name is on the records being requested. I understand that the contents of my permanent academic file will be released to the person and/or institution requested on this release. I understand that I have a right to revoke this release at any time.

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