_______________________ 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.