Transcript Release Authorization Form

Transcript Release Authorization Form

Please complete this Transcript Release Authorization Form Template to request and authorize the release of academic transcripts.

Please take not of the following:

  • Parent/Guardian must submit this Transcript Release Authorization Form if the student is under 18 years of age.

  • A student is entitled to 1 copy transcript for the first request. Subsequent copy requests shall cost two dollars per copy.

Student Number

Name of Student

    Address of Student

      Phone number

        Email

          Status

            • Graduate

            • Undergraduate

            Last School Year Attended

            Please upload a copy of a valid ID of the student enrolled

            I hereby authorize the school to send my transcript of records to:

            Name of Receiving School

            Address of Receiving School

              First Name Last Name

              Date

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              Thank you for completing this form!

              If you have any questions, please contact [Company Email Address].

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