Nevada Privacy Form by National Student Clearinghouse | Sep 12, 2019 | For Nevada Residents Only: If you are a Nevada resident, and wish to exercise your rights under Section 2 of 2019 Nevada Senate Bill 220, please complete and submit this form. Name* (ex. John P. Doe) Date of Birth* (ex. mm/dd/yy, Jan. 1, 2019, etc.) Last 4 Digits of Your Social Security Number Please list all educational institutions you have attended: By providing us with the information above, you are certifying that you are a Nevada resident as defined by state law. While the Clearinghouse does not exchange, for monetary consideration, the data individuals provide to us, we are nevertheless required to provide you with this opt-out right.