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1Transcript
Request
Office of the
e Registrar
3200 Fifth A
Ave
Sacram
mento, Calif.
95817
Complete
e form, then p
print, sign an
nd mail to the
e Registrar. O
Or you may fa
ax the
c
omplet t ed form to 9 9 16.739.725 5 4 or email it t to sacregist t rar@pacific.e e du.
1.
Transcripts
s are not issu
ued until ALL
OUTSTANDIN
NG ACCOUNT
TS with the s
chool are pa
id;
2. T
Typically proc
cesses within
n 2 business
days of rece
eipt; allow lon
nger at the en
nd of a seme
ester.
Date: ___
____________
___
Student I
dentification
number OR last four digi i ts of Social S S ecurity num m ber: _______ _ __________ _ ____
Name: La
ast ________
____________
_______ Firs
st __________
____________
____ Middle
__________
__
Other nam
me attended
under: ____
____________
___________
____________
___________
___________
___
Address:
___________
___________
____________
___________
___________
____________
___________
__
City _____
___________
___________
___________
State ______
___________
_ Zip _______
___________
_
Phone: H
ome _______
___________
__________
Business __
____________
___________
___________
___
E-mail __
___________
___________
____________
___________
___________
____________
___________
_
Class Yea
ar _________
___________
If not now
w enrolled:
My last dat
te of attenda
ance OR
Date of
f graduation
was _______
________
Signature
e __________
___________
____________
___________
__________
(requ
uired)
Select ap
ppropriate ite
ms:
St
tudent Copy
(unofficial)
Offic
cial Copy (iss
ued to third
party only)
S
end only afte
er current gra
ades posted
Lette
er of Standin
ng to accomp
pany transcrip
pt
C
lass rank to
be included
(c
current stude
ents)
O
Other (______
____________
_____)
LSDA
AS / LSAC Re
eport
Purpose f
for which tran
nscript is inte
ended _____
____________
___________
___________
____________
____
Send to:
1.
2.
OFFIC
CE USE ONLY
Y:
Rec N
No _________
___
Acc
ct OK ______
____________
___________
___________
____________
__
___
___________
____________
___________
___________
____________
__
Transcri
pt Sent ____
____________
___________
___________
____________
___ _
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