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Individual must know student s SSN Number date of birth and FERPA pin before information can be released. Name Relationship to student FERPA Pin The FERPA Pin is a four-digit number of your choosing Check one This waiver will be in effect as long as I am a student at The University of South Carolina. SIGN and DATE Student Signature Date Authorized Signature Date Bursar s Office Use Only Students must return this form in person and have their picture I. OFFICE OF THE BURSAR FERPA The Family Educational Rights and Privacy Act FERPA of 1974 establish the rights of students with regard to educational records. The act makes provision for inspection review and amendment of educational records by the students and requires in most instances prior consent from the student for disclosure of such records to third parties. The consent must be in writing signed and dated by the student and must specify records to be released reason for release and the names of the parties to whom such records shall be released* The act applies to all persons formerly and currently enrolled at an educational institution* Access to educational records does not give permission to make changes to the student s record. In signing this waiver I last 4 digits of SSN give access of all my financial records at the University of South Carolina Columbia Bursar s Office to include account balances charges credits refunds/overage checks past due balances third party sponsorships payments Perkins loans and 1098Ts to the individual s listed below. D. present. Forms will not be accepted via mail email fax or from a third party. UNIVERSITY OF SOUTH CAROLINA COLUMBIA SOUTH CAROLINA 29208 803/777-4233 FAX 803/777-7953 AN AFFIRMATIVE ACTION / EQUAL OPPORTUNITY INSTITUTION. OFFICE OF THE BURSAR FERPA The Family Educational Rights and Privacy Act FERPA of 1974 establish the rights of students with regard to educational records. The act makes provision for inspection review and amendment of educational records by the students and requires in most instances prior consent from the student for disclosure of such records to third parties. The act makes provision for inspection review and amendment of educational records by the students and requires in most instances prior consent from the student for disclosure of such records to third parties. The consent must be in writing signed and dated by the student and must specify records to be released reason for release and the names of the parties to whom such records shall be released* The act applies to all persons formerly and currently enrolled at an educational institution* Access to educational records does not give permission to make changes to the student s record. The consent must be in writing signed and dated by the student and must specify records to be released reason for release and the names of the parties to whom such records shall be released* The act applies to all persons formerly and currently enrolled at an educational institution* Access to educational records does not give permission to make changes to the student s record. In signing this waiver I last 4 digits of SSN give access of all my financial records at the University of South Carolina Columbia Bursar s Office to include account balances charges credits refunds/overage checks past due balances third party sponsorships payments Perkins loans and 1098Ts to the individual s listed below.

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