Request For Official Transcript Form - University Of Missouri

University of Missouri

_____________________

Student Number:

REQUEST FOR OFFICIAL TRANSCRIPT

_____ – ____ – _______

Soc. Sec. Number:

If you are requesting transcripts be sent to more than one address, complete a separate form or attach a sheet listing additional addresses. Transcripts will not be released

until delinquent accounts have been paid. Transcripts held for current session grades are mailed approximately two days after the end of the term. Those held for degree

posting are mailed approximately 6-8 weeks after the end of the term. Your written signature must be included. All transcripts are mailed by regular first-class mail unless a

prepaid, pre-addressed priority mail envelope is included with request.

STUDENT INFORMATION

RECIPIENT INFORMATION

I will pick up transcripts now. ($15.00 per copy)

1. Name While Enrolled

Note: Some institutions will not accept transcripts unless they

_____

are mailed by the University Registrar.

_________________________________________________________

QTY

Last

First

Middle

Maiden

FAX transcripts ($15.00 domestic/$20.00 international per copy) to:

2. Current Address and Telephone Number

_____

____________________

__________________________________

_________________________________________________________

(Area Code) Fax number

ATTN: (Recipient name)

QTY

Number and street, apartment or box number

MAIL transcripts ($15.00 per copy) to the address listed below and indicate

_________________________________________________________

the number of transcripts to be sent.

City

State

ZIP

Country

_____

_________________________________________________________

________________________

_______________________________

Recipient name

QTY

(Area Code) Telephone

number

Email Address

_________________________________________________________

Number and street, apartment or box number

3. Date of Birth

Month ________ Day ________ Year ________

_________________________________________________________

4. Enrollment Status

Currently enrolled on campus

City

State

ZIP

Country

Last enrolled (year): ___________

Electronic Delivery ($15.00 per copy) to the email address below

Completed any Correspondence

(Not available for records before 1975 or correspondence courses before 2002)

Course Prior to 2002

_____

_________________________________________________________

PAYMENT INFORMATION

Your Current Email Address

QTY

5. Amount due $_____________ Payment enclosed $_____________

_________________________________________________________

Recipient Name

6.

Method of payment

_________________________________________________________

Cash

Check or money order

School/Company

Student Charge (current students only)

_________________________________________________________

Credit card:

VISA

MASTERCARD

DISCOVER

AMEX

Recipient Email Address

Credit card number: _________________________________

STUDENT SIGNATURE (required)

Computer generated signatures are not valid.

I authorize the release of my transcript to the above listed address(es).

Expiration date (MM/YY): ____________________________

___________________________________________________________________

7.

Send transcript now

Hold for grades

Hold for degree — Term: ______

Signature

Date

Mail completed request to: Transcript Department, University of Missouri-Columbia, 125 Jesse Hall, Columbia, MO 65211-1140 or Fax to: 573-884-8382.