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RELEASE OF WILLIAM PATERSON UNIVERSITY ACCESSIBILITY RESOURCE CENTER DOCUMENTATIONPlease complete this form is you are requesting your Accessibility Resource Center documentation from William Paterson University. Full Name: _________________________________________________________Mailing Address: ____________________________________________________City, State and Zip Code: _____________________________________________Student Identification Number: ________________________________________*(Beginning with 855)Last Four Digits of Social Security Number: ______________________________*(Please provide if your Student Identification Number is unknown)Signature: _________________________Date: _______________Please complete the form and return to ARC@wpunj.edu to request your documentation. Please be advised, the requests are processed within one business week of receiving the request.**Please note, by law our office maintains records for a limited number of years and not all records may be available.** ................
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