Form JV-227 "Consent to Release Education Information" - California

What Is Form JV-227?

This is a legal form that was released by the California Superior Court - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2014;
  • The latest edition provided by the California Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JV-227 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form JV-227 "Consent to Release Education Information" - California

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Consent to Release
Fill in court name and street address:
JV-227
Educational Information
Superior Court of California, County of
This form is used to authorize the release to a child welfare agency of the
educational records of a child or youth who is the subject of juvenile
dependency proceedings. The records will enable the agency to ensure that the
child or youth receives appropriate and effective services, as well as to carry out
Fill in child's name and date of birth:
case management responsibilities, assist with the transfer or enrollment of the
Child’s Name:
child or youth, and inform the court of the child’s or youth’s educational needs.
Date of Birth:
I am
1
a.
The child’s parent (my right to make educational decisions for
Case Number:
my child has not been terminated or limited by the court).
b.
The child’s legal guardian (my right to make educational decisions
for the child has not been terminated or limited by the court).
c.
The child’s or youth’s designated educational rights holder.
d.
The child or youth (I am 18 years of age or older).
e.
The child’s Indian custodian.
Under the Family Educational Rights and Privacy Act of 1974 (FERPA) and California state law, I authorize
2
(allow) any school, district, county office of education, or individual or entity maintaining the child’s or youth’s
records to release these educational records to, and discuss them with (child welfare agency):
These records include, but are not limited to, attendance, academic,
individualized education program (IEP), medical, social, psychological, disciplinary, developmental,
speech/language, and achievement-test records.
I request a copy of the records that will be released.
3
This consent automatically ends one year from date of signature.
4
This form is not intended to limit the right of counsel for the child or youth to access records under Welfare and
5
Institutions Code section 317(f) or as authorized by court order.
Date:
}
Type or print your name
Sign your name
Judicial Council of California, www.courts.ca.gov
Consent to Release Educational Information
JV-227,
Page 1 of 1
Revised January 1, 2014, Optional Form
(Dependency)
For your protection and privacy, please press the Clear
Print this form
Save this form
Clear this form
This Form button after you have printed the form.
Consent to Release
Fill in court name and street address:
JV-227
Educational Information
Superior Court of California, County of
This form is used to authorize the release to a child welfare agency of the
educational records of a child or youth who is the subject of juvenile
dependency proceedings. The records will enable the agency to ensure that the
child or youth receives appropriate and effective services, as well as to carry out
Fill in child's name and date of birth:
case management responsibilities, assist with the transfer or enrollment of the
Child’s Name:
child or youth, and inform the court of the child’s or youth’s educational needs.
Date of Birth:
I am
1
a.
The child’s parent (my right to make educational decisions for
Case Number:
my child has not been terminated or limited by the court).
b.
The child’s legal guardian (my right to make educational decisions
for the child has not been terminated or limited by the court).
c.
The child’s or youth’s designated educational rights holder.
d.
The child or youth (I am 18 years of age or older).
e.
The child’s Indian custodian.
Under the Family Educational Rights and Privacy Act of 1974 (FERPA) and California state law, I authorize
2
(allow) any school, district, county office of education, or individual or entity maintaining the child’s or youth’s
records to release these educational records to, and discuss them with (child welfare agency):
These records include, but are not limited to, attendance, academic,
individualized education program (IEP), medical, social, psychological, disciplinary, developmental,
speech/language, and achievement-test records.
I request a copy of the records that will be released.
3
This consent automatically ends one year from date of signature.
4
This form is not intended to limit the right of counsel for the child or youth to access records under Welfare and
5
Institutions Code section 317(f) or as authorized by court order.
Date:
}
Type or print your name
Sign your name
Judicial Council of California, www.courts.ca.gov
Consent to Release Educational Information
JV-227,
Page 1 of 1
Revised January 1, 2014, Optional Form
(Dependency)
For your protection and privacy, please press the Clear
Print this form
Save this form
Clear this form
This Form button after you have printed the form.