Request For Student Academic Records

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REQUEST FOR ONTARIO STUDENT ACADEMIC RECORDS
(Reference: Procedure PR.646.SCO)
Note: For use ONLY by students who attend or last attended an
Ottawa-Carleton District School
(or a former Ottawa or Carleton Public School)
Please bring or mail this completed form and payment to the last secondary school attended or, if permanently closed,
to Corporate Records, 133 Greenbank Road, Ottawa, ON K2H 6L3.
Government-issued photo identification (Driver’s Licence/Health Card/Passport) is required when requesting/ picking up
requested documents. If the request is made by mail, fax or email, a copy of the applicant’s identification along with
this form, must be sent to the last school attended, or if permanently closed, to Corporate Records. If the applicant
designates another individual to pick up the requested documents (see Section D), the individual must present photo
identification at the time of pick-up.
A. APPLICANT INFORMATION (To be completed by applicant)
Date of Request:
Last School Attended:
Last Grade Completed:
Year of Graduation / Retirement:
DOB: (Y/M/D):
Last Name:
First Name:
Gender:
M
F
Home Telephone:
Last Name or Family Name (while in school):
Other Names Used:
Business/Cell Telephone:
Email:
Current Home Address:
City/Country:
Postal Code:
B. DOCUMENTS REQUESTED (To be completed by applicant)
ONTARIO STUDENT TRANSCRIPT (OST) (Within one year of
leaving the school, two OSTs are issued free of charge. Subsequent
No. Requested:
Fee:
copies are $5.00 each. Students who have been away from their
school for more than one year will be charged $24.00 for the first
copy and $5.00 for each additional copy.)
DUPLICATE DIPLOMA
Fee:
$24.00
No. Requested:
Fee:
LETTER OF ATTESTATION ($25.00)
Specify subject matter of letter:
No. Requested:
Fee:
ELIGIBILITY FOR ENGLISH INSTRUCTION IN QUEBEC ($25.00)
(Completed in Corporate Records-133 Greenbank Rd., Ottawa)
PHOTOCOPIES / MICROFICHE COPIES (20 cents/page)
No. of Pages:
Fee:
CERTIFICATE OF FRENCH IMMERSION
Fee:
$25.00
OCDSB 646 Corporate Records (September 2015)

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