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Transcript Request Form

The document is a request form for students at the University of California, San Diego to order official transcripts of their academic records, with fields to provide their contact information and enrollment details as well as instructions on ordering transcripts by mail, in person, or via fax or rush delivery services. There is a $15 fee per transcript copy unless additional fees apply for rush or delivery services like Federal Express.

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Jonathan Ou-Young
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36 views

Transcript Request Form

The document is a request form for students at the University of California, San Diego to order official transcripts of their academic records, with fields to provide their contact information and enrollment details as well as instructions on ordering transcripts by mail, in person, or via fax or rush delivery services. There is a $15 fee per transcript copy unless additional fees apply for rush or delivery services like Federal Express.

Uploaded by

Jonathan Ou-Young
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Fd University of California, San Diego REQUEST FOR TRANSCRIPT D Office of the Registrar, Attn: Transcripts OR RECORDS 9500 Gilman

Drive # 0022 La Jolla, California 92093-0022 Transcript Requested Total Number of (858) 534-3153 Undergraduate Work Transcripts to be sent. (858) 534-5723 fax Summer Session http://tritonlink.ucsd.edu Graduate Work If you are sending transcripts Medical School to more than one address, Todays date Pharmacy complete the Additional Transcript Addresses form NOTE: New students do not have a transcript until completion of their first quarter.
FEES: Transcripts are $15.00 per

STUDENT INFORMATION
P.I.D. (if available): Name: Last Maiden or Other Name (s): E-Mail Address: Address: City: Student Signature: St: Zip: First Middle Daytime Phone: ( ) Birthdate: / /

copy. Please allow 3 business days to process mail requests. NOTE: USPS delivery times are not included. TO ORDER TRANSCRIPT: MAIL: Complete form, enclose check or money order payable to UC Regents, or credit card information and mail to: UCSD Registrars Office ATTN: Transcript Division 9500 Gilman Drive #0022 La Jolla, CA 92093-0022 IN-PERSON: Complete form, pay fees at the Cashiers Office, 1st floor, Student Services Center, and return form to Registrars Office, 2nd floor, Student Services Center, between 8:00 a.m. 4:30 p.m., Monday through Friday, except Thursday, 10:00 a.m. 4:30 p.m. A transcript will not be issued until all outstanding financial obligations due to the University are cleared. All questions should be directed to the Student Business Services (SBS) Office (858) 822-4727. Extension Studies Transcripts To order, call: (858) 534-3400 In accordance with federal law, records cannot be released without the written consent of the student.

ENROLLMENT INFORMATION AND SPECIFIC DIRECTIONS


Date of First UCSD Enrollment: Date of Last UCSD Enrollment or Graduation:

Forward Transcripts immediately to address below (allow 3 business days for mail-outs). Pick-Up (next business day after 2:00 pm) PHOTO ID REQUIRED! Pick-Up within 30 days or destroyed. Special Handling (Separate Envelopes, etc.) Visa/Mastercard Number Exp. Date

RUSH Service: processed within one business day (additional $20.00 fee per copy). Federal Express Service (domestic: add $20.00 per address; international: add $35.00 per address). Note: Federal Express will not deliver to P.O. Boxes. Rush/FedEX orders must be submitted by 3:30 p.m. for same business day mail out. FAX Transcript Service (domestic: add $5.00 per number; international: add $10.00 per number) #

SEND TO:

Total # of transcripts to this address

FOR OFFICE USE Recd by ONLY


Amt Recd Date Sent: Sent by

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