How to use or fill out Tel: 866-522-7747 with our platform
- Click ‘Get Form’ to open the Third-Party Authorization Form in the editor.
- Begin by entering your Student Name and Purdue Global Student ID or the last four digits of your SSN in the designated fields.
- Provide your email address and, if desired, the name of your Student Support Specialist.
- In the 'Reason for Release of Information' section, clearly state why you are granting access.
- List the individuals you wish to authorize by entering their first and last names. Indicate their relationship to you.
- For each individual listed, place an X in one of the columns to either grant or withdraw permission for them to access your records.
- Select the type of records you wish to share by checking only one option: ALL RECORDS, ACADEMIC RECORDS ONLY, or FINANCIAL RECORDS ONLY.
- Specify an expiration date for this authorization in the provided field.
- Finally, electronically initial and sign where required. Click ‘Finish’ to submit your completed form.
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