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Request for Exchange of Confidential Information.pdf
Handle: Version-95014
Owner: Geveshausen, Olivia (User-6386, 15414:EVERETT)DS
Friday, August 23, 2019 02:43:30 PM PDT
Thursday, November 18, 2021 12:47:32 PM PST
Modified By: Diaz, Ailienette (User-392, 08810:EVERETT)DS
- Student Support Services Department PO Box 2098 Everett, WA 98213 www.everettsd.org REQUEST FOR EXCHANGE OF CONFIDENTIAL EDUCATIONAL INFORMATION Date: Student Name: Student ID: Birthdate: Requestor: Name: School: Grade: I hereby authorize the exchange of confidential information regarding the above named student: Everett Public Schools and Address Phone: Fax: Information Requested (check all that apply) Official Transcript Discipline Records Academic Records Health Records Educational Evaluations Immunization Records Special Education Records Social/Emotional/Disci...
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Appears In: Request for Exchange of Confidential Information.pdf