Online Grade Report Request Form

Required Information

Before you begin, pease have the following information available to complete the form.

1. Student Name
   Enter the student’s full name exactly as it appears in institutional records.
2. Student Campus ID (if available)
   Provide the student’s campus identification number when known. This field is optional but will help expedite record matching and processing.
3. Facility or Site
   Enter the correctional facility or educational site where the student is currently participating in a SUNY-supported program.
4. Former Facility or Site (if applicable)
   Include any prior facilities where the student participated in the same academic program. This information may assist in locating historical records.
5. SUNY Campus Providing Records
   Select the campus from which the grade report is being requested. If records are needed from multiple campuses, submit a separate request for each institution.
6. Enrollment Year(s)
   Provide the year, years, or estimated range of years during which the student was enrolled in the program. An approximate timeframe is acceptable if exact dates are unavailable.
7. Additional Information
   If requested, please include any information that may help identify the student or locate the appropriate records, such as: program name, approximate course dates, previous names used by the student or other identifying details relevant to the request.
8. Required FERPA Release or FERPA-Compliant Release Form
   A signed FERPA authorization is required before educational records can be released. Requests submitted without appropriate authorization may be delayed or returned for additional documentation. Other FERPA forms or request forms may be used, provided it meets FERPA identification and release requirements. You may also provide any required supporting documentation (if applicable).
9. Enter Your Information (Requestor Information)
   Be prepared to provide: your name, your email address, your phone number information on the form. Records will only be released to authorized individuals.