Student Release of Information

Student Release of Information:

The follow are the applicant’s records that will be released:

• Enrollment Records/Registration
• Account Information/Charges/Payments
• Dates of Registration
• Course Progression
• Certificates

Release to:

Utah Department of Transportation
2060 South 2760 West,
Salt Lake City, Utah 84104
801-965-4000

I understand that the information specified under “Records to Release” on this form is being released to the Utah Department of Transportation (UDOT) at my request, with the understanding that this party will not release it to any other parties. ITS is hereby released from all legal responsibility or liability for the release of the above-referenced information.