Authorization to Release Information Form

In accordance with regulations contained within the Family Educational Rights and Privacy Act, Empire State University will disclose to designated parties information from the educational records of a student, provided the university has on file a written request.

Authorization to Release Information Form (PDF 230kB)

(You will need Adobe Acrobat Reader to use this file. If you are unable to open this file, please contact us at RegistrarsOffice@esc.edu for assistance.)

Please complete the form and affix your signature to indicate your consent to release your educational records to such parties you designate. Active students must submit this form to the Office of the Registrar by:

U.S. MAIL
Office of the Registrar
Empire State University
111 West Avenue
Saratoga Springs, NY 12866.

Or

FAX
518 580-0105

Contact Us

RegistrarsOffice@SUNYEmpire.edu

Transcript@SUNYEmpire.edu

VCO@SUNYEmpire.edu

Phone: 800-847-3000 or 518-587-2100

Fax: 518-580-0105

Mailing Address

Empire State University
Office of the Registrar
111 West Avenue
Saratoga Springs, NY 12866

More Information

For current students: Registrar in My.SUNYEmpire (login required)