TEXAS A&M UNIVERSITY
OFFICE OF THE REGISTRAR
P. O. BOX 30018
COLLEGE STATION, TX 77842-3018
CERTIFICATION OF DEPENDENCY FORM
ATTN: RECORDS SECTION (979) 845-1003
Please note the following guidelines:
1.
Print or type the student's full, legal name as it appears on his/her birth certificate.
2.
Grades will not be mailed to parents or students.
a. Parents or legal guardians may be granted access to their students' grade reports. The student must
provide instructions and the necessary password to parents/guardians. Passwords are established by
the student and are not available from the Office of the Registrar.
b. Mid-term grades are reported at the beginning of the eighth week of classes in the fall and spring
semesters for enrolled undergraduate students who have completed fewer than 30 hours of course
work at Texas A&M or who have a cumulative grade point ratio at Texas A&M of less than 2.0.
3.
A student has the legal authority to declare that he/she is no longer a dependent of the parent or
guardian for federal income tax purposes. Once this declaration has been filed in the Office of the
Registrar, the student's educational records will no longer be made available to the parent or
guardian without the written consent of the student.
4.
Please mail this form to the address shown at the top of this form. This form will not be accepted
and processed without the signatures of the parent(s) or guardian(s) and the student.
PARENTS: Under federal legislation, the Family Educational Rights and Privacy Act of 1974 (FERPA), I
understand that if my son or daughter is carried as a dependent for federal income tax purposes (as defined
by the Internal Revenue Code of 1954, Section 152), I may be entitled to access my son's/daughter's
educational records. Access does not permit a parent or legal guardian to make changes to a student's
educational record.
In accordance with the above provision, I certify that the student whose name appears below is my
dependent.
[Click and type student's legal name]
[Click and type student's UIN]
[Click and type date of birth]
(Print Student's full LEGAL name)
(Student's UIN)
(Date of Birth)
[Click and type parent/guardian's name]
___________________________________
(Parent/Guardian's Signature)
[Click and type relationship]
___________________________________
(Alternate Parent/Guardian's Signature)
[Click and type relationship]
(Print Parent/Guardian's name)
[Click and type parent/guardian's name]
(Print Parent/Guardian's name)
[Click and type address]
(Relationship)
(Relationship)
[Click and type city state and zip]
(PERMANENT Street Address or P.O.
Box)
City
State
STUDENTS: I understand that under FERPA, Texas A&M University may release information contained
in my educational records to a parent or guardian who claims me as a dependent for Federal Income Tax
purposes. I also understand that in order for my parent/guardian to view my grades online, I must provide
them my Net ID and the password I have established for parent/guardian access.
_____________________________________________________________
(Student's Signature)
Student UIN can be found at https://myrecord.tamu.edu
_____________________
(Date)
Zip