5125 Form 2

   NOTIFICATION OF RELEASE OF STUDENT RECORDS PURSUANT TO COURT ORDER OR SUBPOENA

_______________________ Public Schools

_______________________, Connecticut

TO: __________________________________________________________________

                                                      Parent - Student

_____________________________________________________________________

                                                             Address

The purpose of this notice is to notify you that on _____________________ (date), the _____________________ (school district) released the following documents:

_____________________________________________________________________

from your child's (your own) student records to:

_____________________________________________________________________

pursuant to a court order or subpoena, a copy of which is attached hereto.

DATED: ______________________________________________________________

Note: When a parent is a party to a court proceeding involving child abuse or neglect, or dependency matters, and a judicial order is issued in the context of that proceeding, or pursuant to a lawfully issued subpoena, additional notice to the parent by the educational agency or institution is not required pertaining to the disclosure of the records.