Get Document Release Form - Keck School Of Medicine Of Usc - Keck Usc

Filling out the document release form is essential for accessing various academic records at the Keck School of Medicine of USC. This guide will provide you with detailed, step-by-step instructions to help you navigate the online form efficiently and accurately.

Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to download the form and open it for editing.
2. Begin filling out the student information section. Include your full name, social security number, mailing address, home phone number, pager or cell number, email address, and graduation year.
3. In the section designated for the information of the recipient, enter the name and title of the individual or entity who will receive the materials. Additionally, provide the department and the hospital or institution name, along with the specific building, room, and floor number.
4. Complete the address section by entering the complete address, including city, state, and ZIP code of the recipient.
5. Indicate where you would like the requested documents to be sent by checking the appropriate box: either to your student mailing address, to the address of the institution listed above, or for pickup.
6. Specify the requested due date for the documents you are requesting.
7. If applicable, fill out the special instructions section with any additional requests or information that may assist in processing your request.
8. For USC graduates or former students, ensure to include the payment of $8 for each MSPE and/or transcript requested by writing the amount in the specified section.
9. Select the requested documents from the list provided, such as enrollment verification, jury duty, loan deferment, MSPE, reimbursement, transcript, or miscellaneous requests, and provide any additional details required.
10. Sign and date the form at the bottom, ensuring that all information is accurate and complete.
11. Finally, review the completed form, save your changes, and prepare to submit it by mailing it to the address listed at the top of page 1.

Complete your document release form online today for a smooth and efficient process.