8/16/2019 HCO Record Request

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Brigham Young University

Request to Review Honor Code Ofce Educational Records

Access to personal educational records is regulated by the Family Educational Rights

and Privacy Act (FERPA) and administered according to the university’s Access totudent Records policy!

 You may access your records by submitting this completed re"uest to the #onor$ode %&ce' * +$' Brigham Young University' Provo' Utah ,-*./01*.! PerFERPA regulations allo2 3orty/4ve days 3or the record search!

5ate

6ame BYU 758

Birthday 9elephone

Address

Appro:imate date o3 #onor $ode %&ce 7nteraction

7denti3y the speci4c records 2hich you 2ant to revie2!

Email ; $orrespondence

7nvestigation ; 5etermination Report

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