Authorization to Release Form Instructions

STEP 1:

Sign into your Fresno State account and select “Student Self Service.”

                                                Student Self Service button

STEP 2:

The Authorize to Release link will display under the “My Personal Information” section.

                             My Personal Information menu showing Authorize to Release link

STEP 3:

Create an Authorization to Release.

Student Self Service page showing Create an Authorization to Release

STEP 5:

Enter FIRST and LAST Name of third-party designee and Create unique Access Code. In addition, provide an Expiration Date for the authorization. Lastly, Specify information authorized for the release to third-party designee.

Once you have completed the form, please provide the “Access Code” to your Advisor when called for your appointment.

Authorization to Release form with fields for first name, last name, access code, expiration date, department, records to release, and purpose of release

Download the PDF

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