Authorization to Release Information Form
In accordance with regulations contained within the Family Educational Rights and Privacy Act, Empire State College will disclose to designated parties information from the educational records of a student, provided the college has on file a written request.
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:
Office of the Registrar
Empire State College
2 Union Avenue
Saratoga Springs, NY 12866.