Deceased Student Record Release Form Home » Deceased Student Record Release Form The purpose of this form is to provide family members (parents, spouse, and/or children) or someone with power of attorney with proper documentation to request the release of the deceased student records. Please provide the following upon request: Family (parent, spouse, or children) Copy of Death Certificate Photo ID Guardian/Third Party: Copy of Death Certificate Photo ID Probate Documentation and/or Power of Attorney Guardian / Third PartyRequestor Name(Required) First Last Email(Required) Relationship(Required)Name of Deceased Student(Required) First Last Reason for RequestUpload Required Documents Drop files here or Select files Accepted file types: jpg, pdf, Max. file size: 100 MB. Copy of the Death Certificate, Photo ID, or Probate Documentation and / or Power of AttorneyDelivery Method(Required) Email Fax Mail Pick Up Fax Number(Required)Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Requestor Signature
