FERPA Concern Report Form

It is the policy of Boise State University to comply with the Family Educational Rights and Privacy Act of 1974. The Family Educational Rights and Privacy Act of 1974 (Buckley Amendment) is a federal law that limits the amount of information that can be released about students without their specific written permission.

It is the responsibility of the university to protect student records. Employment at Boise State University requires compliance with the policies of Boise State University; the rules, regulations, and procedures of the Idaho State Board of Education; and all local, state, and federal laws. Faculty and staff are required to review FERPA and sign a FERPA CONFIDENTIALITY AGREEMENT. The FERPA Confidentiality Agreement is completed online as part of the training.

If you have a concern about the application of FERPA in a personal interaction, classroom or office environment or university activity/event, you have the right to file a concern with the university.

If you need assistance to file a report, please contact:

FERPA Compliance Coordinator
Office of the Registrar
MS1365
Administration Building, Room 110
1910 University Drive
Boise, ID 83725
(208) 426-4249
regmail@boisestate.edu

Access more information regarding FERPA

Report of a FERPA concern must be filed no later than 180 days from the date the incident occurred. Exceptions to this requirement will be considered on a case-by-case basis when the complaining party can show cause for the delay in reporting.

PLEASE NOTE: Availability/completion of this form in no way implies that the reported incident does, in fact, violate FERPA. It is simply a means for individuals to report FERPA concerns for investigation.

Reporting Party Information:
Name
First Last
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Identify Parties Impacted (if other than the reporting party):
Identifying Parties
Please be as specific as possible.
Date(s) potential FERPA concern occurred:
Dates
Describe the incident(s) or action(s) you believe violated FERPA:
Describe the incident
Please verify that you are providing correct information(Required)
- The information I have provided is true and accurate to the best of my knowledge
Comments
This field is for validation purposes and should be left unchanged.

FERPA Concern Report Form

Reporting Party Information:

Identify Parties Impacted (if other than the reporting party):

Date(s) potential FERPA concern occurred:

Describe the incident(s) or action(s) you believe violated FERPA:

Office of the Registrar