Transcript Request Authorization Letter Form
Transcript Request Authorization Letter Form
Requester’s name
*
First Name
Last Name
Requester’s email address
*
example@example.com
Requester’s phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Student’s name
*
First Name
Last Name
School or institution holding the transcript
*
Transcript destination name or organization
*
Transcript destination address or email
*
Preferred delivery method
*
Email
Postal mail
Institution-to-institution delivery
Other
Authorization notes or special delivery instructions
Requester’s signature authorizing the transcript release described above
*
Submit Request
Submit Request
Should be Empty: