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Request to Release Educational Records - sph cuny - sph cuny 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your full name in the designated field labeled 'I, [Student Name]'.
  3. Next, input your EMPL ID and SPH Email address to ensure accurate identification.
  4. Indicate your current status as either a 'currently enrolled' or 'former student' by circling the appropriate option.
  5. In the section for 'Reason/s for release', provide a brief explanation of why you are requesting the release of your educational records.
  6. Specify the date until which the records may be released in the 'Release through the following date' field.
  7. Fill out the authorized individual's information, including their full name and relationship to you.
  8. Select preferred methods of release by checking all applicable boxes and providing necessary contact details.
  9. Check all types of records you wish to be released in the final section, ensuring you include any additional records if necessary.
  10. Finally, sign and date the form at both signature fields provided for you and the authorized individual.

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Related links

Office of the Registrar - School of Public Health Catalog - CUNY

By filing a request with the Office of the Registrar, a student may ask that such information not be released without the individual students written consent.

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