Fillable Transcript Request Form - Washington State University printable pdf download

Washington State University Vancouver Transcript Request

Mail to:

Registrar’s Office

Washington State University Vancouver

14204 NE Salmon Creek Ave

Vancouver, WA 98686

Questions:

(360) 546-9565 or (360) 546-9553

Ø Transcripts ordered using this form must be accompanied by check, money order or cash in the amount of $10.00 per transcript. Credit card

payment cannot be used to order transcripts in person or via mail. Please use our online ordering order system to pay by credit card.

Ø If you know of possible changes being made to your academic record (change of grade, degree conferral, etc.), please verify the updates are

complete prior to placing this order.

Ø A transcript request will not be processed if you have a transcript hold.

Ø Official transcripts are placed in a sealed envelope. If you open the envelope, the transcript will no longer be considered official. Transcripts to be

mailed are sent via USPS. Transcripts ordered for pick-up will be available 3 business days after the request is received. Transcripts not picked up by

the requestor or returned as undeliverable will be held for a maximum of 60 days. Transcript fees are not refundable.

Personal Information (Enter information below, print, sign, and send)

___________________________ ______________________________ ____________________

Last name

First name

Middle name

___________________________________________

Former name(s) used at WSU

___________________________________________

Address: Street (include apartment #)

___________________________

_________

City

State

Zip

___________________

_____/_____/______

(____)______________

WSU ID # (if known)

Date of birth (mm/dd/yyyy)

Daytime phone

________________________________________

Last attendance at WSU: Year _____________________

Fall semester

Spring semester

Summer session

Social Security # (optional)** ___________________________________

It is unlawful for WSU to deny to any individual any right, benefit, or privilege provided by law because the individual refused to disclose his/her social

security number except in very limited circumstances. WSU requests the voluntary disclosure of your social security number of this form. If provided,

WSU will use your social security number only for verification of records.

Transcript Request information _______ copies @ $10.00 each

Transcript Delivery Information

(check one box

only)

I will pick up my transcript at the WSU Vancouver Office of Student Affairs (photo ID is required)

_______________________________________________________

Mail my transcript(s) to:

_______________________________________________________

Attach additional address (s) on separate sheet

Student Authorization