Exhibit 506.01-E(5): Education Records Access - Notification of Transfer of Education
Records
NOTIFICATION OF TRANSFER OF EDUCATION RECORDS
To: ________________________________ Date:______________________
Parent/or Guardian
Street Address:_______________________________________
City/State: __________________________ ZIP:______________
Please be notified that copies of the South Tama County Community School District's official
education records concerning _______________________, (full legal name of student) have been transferred to:
__________________________________________________________________
School District Name Address
upon the written statement that the student intends to enroll in said school system.
If you desire a copy of such records furnished, please check here___ and return this form to the
undersigned. A reasonable charge will be made for the copies.
If you believe such records transferred are inaccurate, misleading or otherwise in violation of the privacy or other rights of the student, you have the right to a hearing to challenge the contents of such records.
_______________________________
(Name)
________________________________
(Title)
Approved: January 17, 2005; March 21, 2011; January 19, 2015; August 19, 2019; October 14, 2024; October 13, 2025
Reviewed: October 14, 2024
Revised: October 14, 2024