Site Accessibility Statement
Wilfrid Laurier University Business Office
April 23, 2014
 
 
Canadian Excellence

Forms


Business Office

Student Account Disclosure Form (Student)


In accordance with the Privacy Protection, Information Availability (10.1) and Student Records (10.2), the Business Office is not at liberty to discuss any matters of student records and/or accounts without the express written consent of the account holder (the account holder is hereby defined as the person who is named on the account).

The account holder may fill out a Student Account Disclosure Form to grant consent for the Business Office to discuss any matters pertaining to the student financial account (no individual except the account holder can make any changes or requests on the account).  This consent form will be valid for the remainder of the time that the account holder is an active student at the University, unless consent is revoked (in writing) by the account holder.

 
MyLaurier Login (ie. abcd1234)*:
     

 
*:  (YYYY-MM-DD)
*:
*:
*:
(must be a valid WLU email address)
I give consent to the following people: (please include your relationship to each person mentioned)
*:
:
:
I hereby give permission to the staff of the Business Office at Wilfrid Laurier University to disclose any and all particulars of my financial account with the above mentioned people or person. I understand that I must advise the Business Office in writing if I wish to revoke this consent for any reason during my years as a student at WLU. No changes (addresses, etc.) will be made to university information except at my request.
I AGREE to the above*:
 
 

updated March 07/14