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Consent To Release Information From Education Records: TO - Lien Test School Todev-Secure

This document is a consent form for the release of education records and transcript from lien test school to American Auto Institute. It authorizes the school to release the student's official transcript to the specified recipients. The form contains the student's name, LAKSH LASTN, and order number 240641. It must be signed and dated by the student in order to complete the transcript order. The form provides instructions to fax, mail, or email a signed copy to the Clearinghouse within 30 days, otherwise the order will be canceled without charge.

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90 views1 page

Consent To Release Information From Education Records: TO - Lien Test School Todev-Secure

This document is a consent form for the release of education records and transcript from lien test school to American Auto Institute. It authorizes the school to release the student's official transcript to the specified recipients. The form contains the student's name, LAKSH LASTN, and order number 240641. It must be signed and dated by the student in order to complete the transcript order. The form provides instructions to fax, mail, or email a signed copy to the Clearinghouse within 30 days, otherwise the order will be canceled without charge.

Uploaded by

lambati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Transcript Order Number:

240641

Consent to Release Information from Education Records


Only the student him/herself may sign this form
The undersigned individual authorizes

TO - lien test school todev-secure


__

to release the official transcript of his/her education record to the individuals and/or organizations (recipients) on this order and
agrees to the charges on his/her credit or debit card resulting from this order (which will appear on his/her credit or debit card
statement as College Transcript).
__

Recipients:
Name

Mailing Address (if applicable)

AMERICAN AUTO INSTITUTE

Student Name: LAKSH LASTN

Authorized for Order Number: 240641

Student Signature

Date

In order to complete your transcript order, you must fax, mail or email a signed and dated copy of this consent form to the Clearinghouse.
DO NOT RETURN THIS FORM TO THE SCHOOL. When we receive your consent form, National Student Clearinghouse will send you a
notification (via email or text, depending on what you selected as your preference) once the consent form has been processed. We will
not confirm receipt of your consent form over the telephone.

Instructions
If we do not receive your signed and dated consent form within 30 calendar days from the date you submitted
your request, your order will be canceled and you will not be charged.
Fax:

703-742-4238 (remember to dial the 1 before the area code)

Mail:

National Student Clearinghouse, 2300 Dulles Station Boulevard, Suite 300, Herndon, VA

Email:

[email protected]

The information contained in this transmission may contain privileged and confidential information. It is intended only for the use of the person(s) named above and the
National Student Clearinghouse. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this
communication is strictly prohibited. If you are not the intended recipient, please destroy all copies of the original message.

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