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LETTER OF AUTHORIZATION

GRADUATE COLLEGE

Your Information
NAME (Last, First, Initial) ASU ID DATE OF BIRTH

ADDRESS (Street, City, State, Zip Code)

EMAIL ADDRESS

Your Signature of Authorization


YOUR SIGNATURE DATE

Authorized Person Information


NAME (Last, First, Initial) PHONE NUMBER

ADDRESS (Street, City, State, Zip Code)

EMAIL ADDRESS

Authorization for I-20 or DS2019


The Graduate College can only send your I-20 or DS-2019 via regular air mail. If you would like to expedite this
process, you can authorize someone other than yourself to receive your I-20 or DS-2019. You can only authorize
someone in the US to collect your documents. The authorized person can receive your I-20 or DS-2019 via regular mail
or they can pick it up in person (with picture ID) at ASU (Interdisciplinary Building, B-wing, Room 170). Your
authorized person can then send your I-20 or DS- 2019 via express mail service to you.

Please Indicate ONE preferred delivery method for your I-20/DS-2019:

Mail (via regular mail) my I-20 or DS-2019 to the authorized person

Call and/or email my authorized person when my I-20 or DS-2019 is ready for pick up

Authorization for in person release of application information other then I-20 or DS-2019

My authorized person may in person act on my behalf concerning all admission matters. I understand that
information will be released to my authorized person only in person in the Graduate Admissions Office, with picture
identification.

Submit
Fax: 480-965-5158 Mail: Arizona State University
Graduate College
PO Box 871003
Tempe, AZ 85287-1003

GC 2008-08
Print Form

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