506.01-E(4) - Request for Examination of Education Records

To: ________________________________________ Address:________________________________  

Board Secretary (Custodian) 

 

The undersigned desires to examine the following official education records. 

 

______________________________________________________________________________________

 

______________________________________________________________________________________

 

______________________________________________________________________________________

 

of  __________________________________________, _________________________________________

(Full Legal Name of Student) (Date of Birth) (Grade) 

 

______________________________________________________________________________________

(Name of School) 

 

My relationship to the student is: ___________________________________________________________

 

(check one) 

_____ I do 

_____ I do not 

 

desire a copy of such records. I understand that a reasonable charge may be made for the copies. 

________________________________

(Parent's Signature) 

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: 8/16/2026