Requester Information

Please note: Inquiries received on behalf of the student must be from an authorized requester listed on the student's Authorization to Disclose Information form. The authorization must also list your email address; otherwise we must respond directly to the student at his/her UMBC email address.

Student Information

Please note: All responses will be sent to your UMBC email address, upgrade your account if you haven't done so already.

Contact Information

Please note: Scans should be in PDF format.

Maximum characters: 500
You have characters remaining
Warning: Sending documents with highly sensitive information, ie. social security numbers, is not recommended.

  Image Not available

Please click the submit button only once.