Data Privacy Toolbox

Forms

The following forms address the most common situations concerning access to student or personnel data. In most instances, they must be modified for use at your college or university. College and university officials are encouraged to call the Minnesota Attorney General's Office or the Office of General Counsel for assistance on the use of any of these forms or to suggest other forms that would be useful.

Educational

• Authorization for the Release of Private Student Information
• Notice of Compliance with a Subpoena (student)
• Notification to Recipients of Private Student Information
• Reference Request and Student Authorization
• Sample Data Privacy Notice - Student
• Sample Notice to Student of Intent to Release Data Pursuant to Subpoena
• Sample Annual Notice of Rights Under FERPA

Personnel

• Authorization for the Release of Private Personnel Data
• Authorization for Reference Check
• Cover Letter re: Employment Reference Check
• Employment History Check Authorization

• Sample Data Privacy Notice- Employees

• Sample Reference Authorization
• Tennessen and Garrity Warnings Used in Misconduct Investigations - Minnesota Management & Budget HR/LR General Memo #2015-3 former policy #1411

General

• Examples of Data Classifications
• Guidelines for Determining Charges for Copy Costs
• Sample Poster for Tips on Information Security
• Sample Subject Access Policy
• Minnesota Standard Form to Release Health Information
• Sample Letter to Request Prevailing Wage Records
• Sample Procedure for Subject Challenge to Accuracy or Completeness
• Sample Image Release and Waiver
• Sample Image Release and Waiver (online form version)
• User Generated Content Terms of Use and Licensing Agreement