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Verification and Certification Release of Information

The Family Education Rights and Privacy Act of 1974 (FERPA), amended, states that a student must authorize in writing the release of her or his educational records to a third party.

Name(Required)
Former Name(s)
MM slash DD slash YYYY
This is the same thing as your “myTCC” login with the added “@email.vccs.edu” already in the field above.
Social Security Number is not required, but highly recommended for students whose last attendance was 2003 or earlier, so that the record can be located more efficiently.
Select a Campus…
Chesapeake
Norfolk
Portsmouth
Virginia Beach
SSN Release(Required)
In processing your request, TCC may need to furnish and/or confirm your Social Security Number (SSN) with the third party that you have specified. Per the Federal Educational Rights and Privacy Act (FERPA), you have the right to authorize or prevent disclosure/confirmation of your SSN to most third parties. As such, please indicate below whether TCC is authorized to release your SSN if requested and/or needed in processing this request.
The record(s) to be disclosed is (are)(Required)
The purpose(s) of disclosure is (are):(Required)

The person or organization to whom this disclosure is to be made:

Address of Third Party(Required)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Drop files here or
Accepted file types: jpg, gif, pdf, docx, doc, Max. file size: 32 MB, Max. files: 5.
    Apartment complexes, prospective employers, social security administration, VCCS common application, Redevelopment and Housing, scholarships etc.
    Clear Signature