Peralta Community College District Official Transcript Order Form
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1B erkeley City College
College of Alameda
Peralta Community College District
Laney College
Admissions and Records
Merritt College
OFFICIAL TRANSCRIPT ORDER FORM
Fees:
Regular Delivery - $6.00 per copy: mailed within 7-10 business days.
Rush Delivery - $12.00 per copy: mailed within 3-5 business days.
Pick-up Processing-$12.00 per copy: students pick-up transcripts at the District A&R Office in 2 business days.
Free Transcripts – Students’ first two regular delivery transcripts requested are free.
Prior to 1970 processing – Allow up to 20 days (there is no rush service for prior to 1970 records).
Same day transcripts - $25.00 per copy: available within 2 hours at the District Admissions & Records Office only.
Requests will not be issued/processed if any of the following criteria are not met:
Signed and dated written request from student.
All Peralta debts paid in full and all holds cleared.
A mailed transcript request must have check or money order included. Do NOT mail cash or credit card information.
Mail order form and payment to: Peralta Ad
missions
th
333 East 8 St.
Oakland, CA 94606
Note: One transcript will include all courses taken at all Peralta Community College District locations.
Before ordering a transcript, ensure that your grades and degrees are posted in PASSPORT.
Student Information
Please print clearly:
Did you attend prior to Fall 1970?
YES
NO
Name:
Date of Birth:
Last
First
M.I.
Other names used at Peralta:
Address:
No. & Street
City
State
Zip Code
Phone:
Email Address:
Student ID:
Dates of Attendance:
or last 4 digits of SSN
From
To
Send Transcripts To:
REQUEST #1
Number of copies:
Processing Type:
Regular
Rush
Pick-Up
Same Day
MAIL TO:
Address:
No. & Street
City
State
Zip Code
REQUEST #2
Number of copies:
Processing Type:
Regular
Rush
Pick-Up
Same Day
MAIL TO:
Address:
No. & Street
City
State
Zip Code
X
Date
Student Signature
Admissions & Records/Cashier’s Office Use Only
Amount Due: $___________________ A&R Initials: _____________________
Date: ____________________
Amount Due: $___________________ Cashiers Initials: ___________________
Date: ____________________
Rev. 1/22/15
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