Request for Access to Personally Identifiable Information (PII)

Request for Access to Personally Identifiable Information (PII)
Under the Maryland Privacy Act for Higher Education

This service  provides a secure method for uploading files (jpg, pdf, doc, etc) containing personal information. Your submission is protected by encryption, securing data from unauthorized access. Additionally, your submission is accessible only by the relevant office staff members.

Please provide your full address, city, state and ZIP code.
Information Requested
Please specify the types of information you are requesting access to (check all that apply):
Information Requested (required)
To verify your identity, please attach a photo copy of a government-issued photo ID (e.g., driver’s license, passport).
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Contact Information for Response
Please indicate how you would like to receive the information.
Contact Information for Response (required)
Certification
By checking the box below, I certify that I am the individual to whom the requested information pertains or have legal authorization to request this information on behalf of the individual.
Certification (required)

Other Fields

Your name
Verification Code