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Center for Student Rights and Responsibilities

Authorization to Release Information

By signing this form, I authorize the staff of the Center for Student Rights and Responsibilities to disclose any and all information in my disciplinary file to:




Signature

Once you have completed this form in its entirety, , SIGN IT, and deliver it to Student Services West, Room 1604 or mail it to:

Center for Student Rights and Responsibilities
San Diego State University
5500 Campanile Drive
San Diego, CA 92182-7443