Transcript Request Form Western Michigan University
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1Please mail, fax or hand carry your request to:
Transcript
Office of the Registrar
Western Michigan University
Request Form
1903 W. Michigan Avenue s Kalamazoo, MI 49008-5256
Telephone: (269) 387-4300 Fax: (269) 387-3545
Electronic and phone orders are not accepted.
Note: Each transcript will reflect ALL academic work completed at Western Michigan University. Transcripts printed on security paper cannot be
duplicated or scanned. Please print legibly and complete all applicable information. Payment and student signature are both required at the time of ordering.
1. STUDENT INFORMATION
Western ID or SSN
Birth date
Attend prior to 1983?
Y
N
o
o
Name
First Name
Middle Initial
Last Name
Maiden
Current mailing address
Number and Street
City
State
Zip Code
Daytime Telephone (
)
E-mail address
2. REQUEST DETAILS
Quantity
o Pick up now
Faxed (Rush)
Official Transcripts
$5 ea
Transcript Option
o Send now
Unofficial Transcripts
$5 ea
includes:
Or hold until: (optional)
1 unofficial - faxed
Faxed (Rush) Transcripts
$10 ea
1 official - mailed
o Grades posted (or changed): Term
Year
Fax Number: (
)
Faxed transcripts can
o Degree posted:
Term
Year
only be unofficial.
Attn:
3. MAILING INSTRUCTIONS
:
Requestor is responsible for clear and complete mailing
Mail service (choose one)
address:
o First Class Mail
Standard mail, no additional charge
Institution/Company
o FedEx *
Available in the US only. FedEx does not deliver
Attn
to a PO Box.
Address
* If you have selected FedEx service, you will be charged by WMU for the transcript(s) as well
City
State
Zip Code
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.
Country
4 . PAYMENT INFORMATION
o Cash
o Check
Name on credit card
o Credit Card
Card number
Please choose:
o
Visa
o
MasterCard
o
Discover
Expiration Date
Security Number
Amount Enclosed: $
Authorized Signature
5. STUDENT SIGNATURE
REGISTRAR’S OFFICE USE ONLY
Amount: $ ______________
Student Signature: X
Federal law requires the student signature of release for transcripts. Payment and student
Cash
o
signature are both required at the time of ordering.
Check
o
Credit Card
o
Date:
Transcripts will not be issued for anyone with financial obligations to the
University. Normal transcript processing time is 3 - 5 business days upon
receipt of request.
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