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Forum Guide to Protecting the Privacy of Student Information: State and Local Education Agencies

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Exhibit 56: Sample Notification for Approval/Disapproval of Request for Amendment

Date: ________________________

From: [Name of Designated Official]

To: [Name of Parent(s)]

Your request for amendment of the education record of your child, ________________________, was received and reviewed.

______ The request was approved and necessary changes were made to the specified record as requested.

______ The request was denied because ________________________.

However, you are entitled to a hearing concerning your request. If you decide to request a hearing, please notify the following office within [number of days as specified by state or local policies].

[Name of Contact Person]

[Address and Telephone Number]

Signature: ________________________

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National Center for Education Statistics -
U.S. Department of Education