Transcript Request Form - Washington State University

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Washington State University Vancouver Transcript Request
Mail to:
Registrar’s Office
Washington State University Vancouver
14204 NE Salmon Creek Ave
Vancouver, WA 98686
(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 #)
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
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
(Transcripts will not be released without the student’s signature)
I hereby authorize the release of my WSU transcript ______________________________________
Student’s signature required
Reg/Forms 2/1/2016


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