Transcripts & Records Request Form
ADVERTISEMENT
1
2GARDEN GROVE UNIFIED SCHOOL DISTRICT
A copy of a valid picture ID is required
Office of Records Management
with request
10331 Stanford Ave
Garden Grove, CA 92840
Money order, cashier check or cash
(714) 663-6514
only; no personal checks accepted
TRANSCRIPTS & RECORDS REQUEST FORM
(PLEASE READ THE BACK SIDE BEFORE FILLING OUT FORM)
PRINT LEGIBLY
1. Name (Current):
2. Name used in school: *
Last
First
Middle
3. Current address:
4. Social Security #:
Number & Street
Apt. No.
5. Birthdate:
City
State
Zip Code
6. Telephone #:
7. Year graduated or left:
8. School last attended in GGUSD:
(
)
Area Code
Type of Records Requesting & Fee:
9. Send Transcripts/Records To:
Name of Institution:
(Please circle)
Attention:
Transcripts: Official
$5.00
Street address
Transcripts: Unofficial
$5.00
City , State, Zip Code
Special Education Records
$5.00
10. Student's Signature:
Date:
Immunization Record
$3.00
(Parent's signature if student is a minor)
Diploma Replacement
$30.00
Letter of Verification
$5.00
Signature Authorizes Release of Records
FOR OFFICE USE ONLY:
TYPE OF ID #: _________________
DATE RECEIVED: _________________
ID NUMBER: ______________________
AMOUNT PAID: ______________________
VERIFIED BY: _____________________
DATE PROCESSED: __________________
* If you have changed your name since attending our schools, other than through marriage, please send a copy of the legal document
showing both your old name and your new name. We will not process your request without it. Legal documents can be copy of
Naturalization Certificate (front & back side) or Court document stating the name change.
9702.96* Rev 4/10
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business