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Ts. 38.50 (11) (d) provides that a student, upon request, shall have the right to receive from the EAB a copy of his/her student record. A $10.00 fee per requested official copy of said record must accompany this form. The student s signature authorizing release of information must be provided before the request can be completed. Mail the signed request and applicable fee to the address above. I. STUDENT INFORMATION Last Name of Student: First Name of Student: Middle Initial: Last Four Dig.

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