506.01-E(1) - Request of Nonparent for Examination or Copies of Education Records

506.01-E(1) - Request of Nonparent for Examination or Copies of Education Records

The undersigned hereby requests permission to examine the _______________________ Community School  District's official education records of: 

 

________________________________________________________      __________________________

(Legal Name of Student)                                                                      (Date of Birth) 

 


 

The undersigned requests copies of the following official education records of the above student: 

 


 

 

The undersigned certifies that they are (check one): 

 

(a) An official of another school system in which the student intends to enroll. (  ) 

(b) An authorized representative of the Comptroller General of the United States. (  ) 

(c) An authorized representative of the Secretary of 

the U.S. Department of Education or U.S. Attorney General (  ) 

(d) A state or local official to whom such is specifically allowed to be reported or  

disclosed. (  ) 

(e) A person connected with the student's application for, or receipt of, financial  

aid (SPECIFY DETAILS ABOVE.) 

(f) Otherwise authorized by law. (SPECIFY DETAILS: __________________). (  )  

 

The undersigned agrees that the information obtained will only be redisclosed consistent with state or  federal law without the written permission of the parents of the student, or the student if the student is of  majority age. 

 

_______________________________________

(Signature) 

_______________________________________

(Title) 

_______________________________________

(Agency) 

 

APPROVED: Date: __________________________________

Address: _______________________________

Signature: _______________________________ City: __________________________________

Title: ___________________________________ State: ______________ ZIP: _______________

Dated: __________________________________ Phone Number: __________________________

 

I.C. Iowa Code Description 

Iowa Code § 22 Open Records 

Iowa Code § 279.9B Directors - Powers and Duties - Reports to Juvenile Authorities 

Iowa Code § 280.24 Drug & Alcohol Possession Reporting 

Iowa Code § 280.25 Information Sharing 

Iowa Code § 622.10 Evidence - Communications in Professional Confidence 

 

I.A.C. Iowa Administrative Code Description 

281 I.A.C. 12.3 Administration 

281 I.A.C. 41 Special Education 

 

U.S.C. - United States Code Description 

20 U.S.C. § 1232g Education - FERPA 

20 U.S.C. §1415 IDEA - Procedural Safeguards 

 

C.F.R. - Code of Federal Regulations Description 

34 C.F.R. Pt. 300 Education - Disabilities/Children/Assistance to States 

34 C.F.R. Pt. 300.610 Education - Confidentiality 

34 C.F.R. Pt. 99 Education - Family Rights and Privacy 

 

Cross References Description 

102 Equal Educational Opportunity 

102-R(1) Equal Educational Opportunity - Grievance Procedure 

102-E(1) Equal Educational Opportunity - Annual Notice of Nondiscrimination 

102-E(2) Equal Educational Opportunity - Continuous Notice of Nondiscrimination 

102-E(3) Equal Educational Opportunity - Notice of Section 504 Student and Parental Rights 

102-E(4) Equal Educational Opportunity - Discrimination Complaint Form 

102-E(5) Equal Educational Opportunity - Witness Disclosure Form 

102-E(6) Equal Educational Opportunity - Disposition of Complaint Form 

603.03 Special Education 

604.11 Appropriate Use of Online Learning Platforms 

605.08 Artificial Intelligence in the Educational Environment 

605.08-R(1) Artificial Intelligence in the Educational Environment - Regulation 

708 Care, Maintenance and Disposal of School District Records

 

Cross References Description

712 Technology and Data Security 

712-R(1) Technology and Data Security - Security Requirements of Third- Party Vendors Regulation 

804.06 Use of Recording Devices on School Property 

804.06-R(1) Use of Recording Devices on School Property - Use of District Owned Recording Devices Regulation 

901 Public Examination of School District Records 

 

Approved: 9/20/2021, 9/16/2024, 11/17/2025, 9/16/2026

Reviewed: 8/19/2026

Revised: 8/19/2026

dawn.gibson.cm… Fri, 06/12/2026 - 14:49