Community Standards Release of Student Disciplinary Records Request

This release of student disciplinary records request form offers the following options for Current Students:

Provide the Office of Community Standards permission to discuss your conduct record with a parent, third party or your advisor for the conduct process
Request a copy of your disciplinary records be sent to your self or a third party.
Revoke your permission to give a third party acces to your records

This release of student disciplinary records request form offers the following options for Former Students/Alumni:

Request a copy of your disciplinary records be sent to your self or a third party.
Revoke your permission to give a third party acces to your records

Pursuant to SUNY’s Records Retention and Disposition policy, all student disciplinary records will be retained for a period of seven (7) years from the end of the academic year in which the Student Conduct Referral was resolved. However, there is one exception, student conduct referrals resulting in either disciplinary dismissal/expulsion or a transcript notation of “withdrew with conduct charges pending” will be kept indefinitely.

If you are a third party looking for disciplinary records, please visit our Requesting Student Disciplinary Records page for further information on how to complete your request. As per the Records Retention Policy, if Community Standards has a student disciplinary record, they may only release the record in accordance with the Family Education Rights and Privacy Act (FERPA). As such, students must authorize the University to release their disciplinary records. We encourage you to direct the student to complete this form themselves to approve your access to their disciplinary records.

Current Status*

Current StudentFormer Student or AlumniThird Party

What action do you need to complete?*

Records Release RequestCancel Records Release RequestGive permission for Community Standards to speak with advisor or third party (This is for students with an active conduct case)Cancel permission for Community Standards to speak with advisor or third party (This is for students with an active conduct case)

What action do you need to complete?*

Records Release RequestCancel Records Release Request

Student information is never released over the phone, by email, or by fax until information is verified. In order to release information to a third party, we will authenticate their identity via valid, non-expired photo ID either in person or via a Zoom call. The third party will need to initiate this process by reaching out to the student conduct administrator after you have confirmed your submission of this form.

Student Name*

First NameMiddle NameLast Name

Student ID Number*

Please enter your student ID number not your social security number or NetID. Your ID number is a 9 digit number beginning with 00.

Student University at Albany Email Address*

Confirmation Email@albany.edu

Your Email Address*

Confirmation EmailPlease use an email address that you have access to: example@example.com

Date of Birth*

MonthDayYear

Major at the University at Albany*

Years of Attendance at the University at Albany*

Please list the date range or semesters you attended the University at Albany

Under the provisions of the Family Education Rights and Privacy Act, I authorize the release of the following information from my student conduct file:*

All information relating to all charges in my file as of the date this release is submittedAll information related to a specific incident

What information do you know about the specific incident?*

Date of IncidentIncident Report NumberI do not have this information regarding the specific incident

Date of Incident*

MonthDayYear

Incident Report Number*

Please contact Community Standards at 518-442-5501 or via email at communitystandards@albany.edu to clarify what incident you are looking to give permission to disclose. You will need to go back and complete this form once you have clarified that information.

Do you have a current conduct case in progress?*

YesNo

Who is the Student Conduct Administrator handling your conduct case?*

Note: If you need different records sent to different parties, please complete a seperate form for each party.

Are you requesting these records for yourself or a third party?

MyselfThird Party

Please enter the Name of the Person these records are being sent to:*

First NameLast Name

Full legal name(s) of person(s) or organization(s) to whom you are consenting the Office of Community Standards may disclose information:*

How would you like these records sent?*

EmailMailFax

Email records are being sent to:*

example@example.com

Address records are being sent to:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Fax Number records are being sent to:*

Please enter a valid fax number.

Do you have a specific form that needs to be completed?*

YesNo

Please make sure you have completed the necessary parts of your form before uploading it below. If parts of the form that need to be completed by you are incomplete, your request will not be able to be processed and you will need to submit a new form to submit your request.

Please upload the specific form you need completed:*

Only PDF, Doc, Docx accepted

We typically provide students with a letter that states the violations of the Community Rights and Responsibilities and the sanctions received. Are you looking for more records or information beyond this?*

YesNo

Please Explain What Additional Records/Information You Need*

Full legal name(s) of person(s) or organization(s) to whom you wish to rescind access to your disciplinary records:*

Please note that once you submit this form, you must check your email and complete the required follow up action before this form will be processed by the Office of Community Standards.

By signing this form, you acknowledge:

You are the student named above and authorize the release of your disciplinary record information to the recipient listed above.
You are giving your written consent to the University at Albany, State University of New York, to disclose, make accessible, and furnish the above-mentioned information
Your written consent will remain in effect until you notify the Office of Community Standards to revoke it
The specific information referenced in this form is being released to a third party at your request with the understanding that they will not release it to any other parties. The University at Albany is hereby released from all legal responsibility or liability pertaining to the release of the above-mentioned information

Please note that once you submit this form, you must check your email and complete the required follow up action before this form will be processed by the Office of Community Standards.

By signing this form, you acknowledge:

You are the student named above and authorize the Office of Community Standards to discuss the incident(s) listed above to the recipient listed above.
You are giving your written consent to the University at Albany, State University of New York, to disclose, make accessible, and furnish the above-mentioned information
Your written consent will remain in effect until you notify the Office of Community Standards to revoke it
Student information is never released over the phone, by email, or by fax until information is verified. In order to release information to a third party, we will authenticate their identity via valid, non-expired photo ID either in person or via a Zoom call. The third party will need to initiate this process by reaching out to the student conduct administrator after you have confirmed your submission of this form.
If the University at Albany is not able to authenticate the third party, any requests made by the third party to access non-directory educational records of a student will be denied
The specific information referenced in this form is being released to a third party at your request with the understanding that they will not release it to any other parties. The University at Albany is hereby released from all legal responsibility or liability pertaining to the release of the above-mentioned information

Please note that once you submit this form, you must check your email and complete the required follow up action before this form will be processed by the Office of Community Standards.

By signing this form, you acknowledge:

You are the student named above and authorize the cancellation of the release of your disciplinary record information to the recipient listed above.
The Office of Community Standards will no longer have permission to provide records to the person listed above about your conduct record once your form has been processed by the Office of Community Standards.
This only applies for future releases of information. The Office of Community Standards cannot rescind documents that you previously approved for release.

Please note that once you submit this form, you must check your email and complete the required follow up action before this form will be processed by the Office of Community Standards.

By signing this form, you acknowledge:

You are the student named above and authorize the cancellation of the release of your disciplinary record information to the recipient listed above.
The Office of Community Standards will no longer have permission to speak to the person listed above about your conduct record once your form has been processed by the Office of Community Standards.

Student Signature*

Please type full legal name

Date*

MonthDayYear

If you are a third party looking for disciplinary records, please visit our Requesting Student Disciplinary Records page for further information on how to complete your request. As per the Records Retention Policy, if Community Standards has a student disciplinary record, they may only release the record in accordance with the Family Education Rights and Privacy Act (FERPA). As such, students must authorize the University to release their disciplinary records. We encourage you to direct the student to complete this form themselves to approve your access to their disciplinary records.