Ferpa Release - Rental Verification
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1FERPA RELEASE – RENTAL VERIFICATION
Name: __________________________________________
Net ID: _______________________________
I request and authorize BYU Campus Accommodations to release
Name:________________________________
rental information of the person named above to:
Email Address:__________________________
Phone Number:_________________________
Name:________________________________
Email Address:__________________________
Phone Number:_________________________
Name:________________________________
Email Address:__________________________
Phone Number:_________________________
This request and authorization applies to:
Tenancy Dates and address
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Payment Information (including late payments, amount paid, utility charges, etc.)
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Cleanliness
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Personal Behavior (including complaints)
☐
Maintenance Problems or Damage Charges
☐
Pets
☐
Notice Given
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Other (explain): ______________________________________________________________________________
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*Tenant Signature:
Date:________________
*Submitting this form as a message attachment to BYU Campus Accommodations through My Housing Account constitutes an electronic signature.
THIS AUTHORIZATION EXPIRES 90 DAYS AFTER IT IS SIGNED.
PLEASE SUBMIT COMPLETED FORM AS A MESSAGE
ATTACHMENT TO CAMPUS ACCOMMODATIONS THROUGH YOUR
MY HOUSING ACCOUNT.
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