Institutional Verification Release of Information Request Form
Please allow 10 business days to process your request.
For each institutional verification needed, please email, mail, fax, or hand deliver the following documents to the ESS office in 350 MCKB
A State Institutional Verification Form from the state in which you are applying for licensure. Complete only the applicant's information. Do not fill in any information designated to be filled in by university personnel.
Release of Information Form. In order for Brigham Young University to release information regarding your institutional verification, you must fill out and sign a Release of Information Form. Please include it as a cover letter when you send us your State Institutional Verification Form.
Page updated 10/23/15
Although Education Student Services makes every effort to ensure the accuracy of the information found on this website, we reserve the right to make changes at any time. Students should regularly consult with their department, college advisement center, the university catalog, and Education Student Services for updates and changes.