Complete a Release of Information Form

Use this screen to keep record of parental consent for release of information. The school must obtain parental consent when the DOE seeks to release information to another party or receive information from another party.

Through this screen, you will be able to fill out and print the Consent for Release of Information form (HAR 64).

Once you fill out the form, you must present it to the parent/guardian, then record the results in this screen.

ELECTRONIC SIGNATURE: If your school has access to the electronic signature function, please use these instructions instead.

Preparing the Form

To complete a release form, do the following:

1. Search for a student

2. From the Select Profile View, select Page 2.
   
    

3. Select the Releases tab.

4. Under the Release List list box, click Add.
   
    

5. On the Consent Information tab, enter the following information:

1. Select Consent Type.

• DOE Receive - Allow DOE to receive specified information from another named party.

• DOE Release - Allow DOE to release specified information to another named party.

2. When appropriate, enter the Provided to Parent Date. This is the date that the final, signed copy is given to the parent. Entering and saving this date will lock this form and be unavailable to edit or delete.

3. When appropriate, enter the following:

• Form Signed Date - Date written on the signed form from the parent.

• Form Received Date - Date the school received the signed form.

4. Specify document(s)/information authorized for release or receipt - The type of information that will be released or received by your school or office. You may also reference documents.

5. For the Purpose of - The purpose for releasing or receiving the information.

6. On the Contacts tab, enter the following information:

• DOE School or Office - Use the Import button to identify the DOE entity releasing or receiving the information.

• DOE Contact - Use the Import button to identify the DOE contact.

• Parent/Guardian - Parent or guardian authorized to grant release. For Name of Parent/Guardian, type a name or click Import. Clicking Import allows you to add a name from the student's contact list.

• External Person/Agency - Enter information about the external person or agency sending or receiving the authorized information.

7. For additional releases, click Save and Next. Otherwise, click Save

8. PRINTING: The Print Form button is displayed after the release is saved. You may print the document.

9. Click Close to return to the Releases tab.

Having the Form Signed

After you have completed a release form, you must come back to this screen and provide information when the release is:

1. Signed (Form Signed Date)
2. Received by the school (Form Received Date)