RELEASE OF STUDENT ACCOUNT INFORMATION FORM
I hereby authorize California Western School of Law  to provide access to the information 
contained on my student account, including all institutional charges and payments by financial 
aid loans or any other means, to the following person(s).
           
Name Relationship to Student
           
Name Relationship to Student
           
Name Relationship to Student
     
Student Name (please print)
     
Signature
     
Date
This form is a notice to the school, authorizing them to release student financial information to 
the person(s) designated.  Please indicate the person's relationship to you, the student, where
indicated (for example; wife/husband, accountant, parent, trustee, etc).
Thank You