Transcript Request Form
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1Please mail, fax or hand carry your request to:
Office of the Registrar
Western Michigan University
1903 W. Michigan AvenuesKalamazoo, MI 49008-5256
Transcript Request Form
Telephone: (269) 387-4300 Fax: (269) 387-4170
Electronic and phone orders are not accepted.
1. PERSONAL INFORMATION
Western ID or SSN
Birth date
Dates of Attendance
Name
Name attended under
First Name, Middle Initial,
Last Name
Current mailing address
Number and Street
City
State
Zip Code
Daytime Telephone ( )
E-mail address
Note: Each transcript will reflect ALL academic work completed at Western Michigan University
2. ORDER DETAILS
3. MAILING INSTRUCTIONS
Total
Quantity
Send after degree is posted:
o
Official Transcripts
$5 ea
_____
_____
Spring
Summer I
Summer II
Fall Year________
o
o
o
o
Unofficial Transcripts
$5 ea
_____
_____
Send after grades are posted (includes grade changes):
Faxed (Rush) Transcripts* $10 ea
_____
_____
o
Spring
Summer I
Summer II
Fall Year________
Grand Total
_____
o
o
o
o
Send Now
o
Fax Number: (_____) ______________________________
Attention: ________________________________________
Requestor is responsible for clear and complete mailing address:
*Only unofficial transcripts can be faxed. However, an official
Company
transcript will be mailed to same recipient.
University/College
:
Mail service (choose one)
Attn
o First Class Mail
No additional charge
o Express Mail
A prepaid, express mail envelope
Address
from USPS must be provided by
City
the student.
o FedEx *
Available in the US only. FedEx
State
Zip Code
does not deliver to a PO Box.
4. STUDENT SIGNATURE
Student Signature:
Date:
Federal law requires the student signature of release for transcripts. All holds must be cleared before submitting a
transcript request. Normal transcript processing time is 3 - 5 business days upon receipt of request.
* If you have selected FedEx service, you will be charged by WMU for the transcripts as well as by FedEx for the shipping fee. By
your signature, you give WMU permission to give your credit card number to FedEx to be charged the appropriate shipping fee.
5 . PAYMENT INFORMATION
OFFICE USE ONLY
Cash
Check
Credit Card
o
o
o
Please circle: Visa MasterCard Discover
Amount: $ ______________
Name on credit card
Cash
o
Check
Card number
o
Credit Card
o
Expiration Date
Security Number
Authorized Signature
Print Form
Amount $
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