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Waiver Of Confidentiality
WAIVER OF CONFIDENTIALITY
TO: [First Name of employee] [Last Name of employee]
[Title of employee]
FROM: [First Name of employer] [Last Name of employer]
[Title of employer]
DATE: [Date of notice]
RE: Waiver of confidentiality
We have been asked by your school's financial assistance center to provide information relating to your length of employment, status, and salary. We cannot release this information without your permission. If you grant this permission, please sign where indicated.
I hereby grant permission to my employer to furnish the named outside source with the above-stated information relating to my employment. This waiver shall be nullified after this one-time release of information.
Signature Date