THINGS TO KNOW BEFORE YOU BEGIN:

You may only have 1 waiver on file at a time.

This form has 4 sections:

• Section 1 - verifies your user information
• Section 2 - allows you to designate up to 5 contacts to release information
• Section 3 - you select your security question(s) and provide answers
• Section 4 - is your electronic signature

Gather all contact information before you start. The system will save partially completed forms, but you will not be able to edit or complete them. If you do not complete the form, no information can be released.

If you need to change or update information or people you must revoke the waiver on file and then create a new waiver.

ADDITIONAL INFORMATION:

Relationships for you to consider: Telephone verification for yourself, relatives, employers.

Why provide:

daytime phone number? So CSU can respond to voice mail inquiries;

mailing address? CSU policy is to send mail to your official home of record only. This allows the mailing to a different address.

email address? You are consenting to allow CSU to communicate to an email address used by your designee.