Mail To:UW Colleges Transcripts780 Regent St., Ste 130Madison, WI 53715-2635(608) 263-7732ORFax To:(608)265-9473Black Ink Required on Faxed FormsORScan your signed form(s) and email to:email@example.comTRANSCRIPT REQUEST (Faxed and emailed requests must include Credit Card Information)►Read and fill out the complete form, leave nothing blank.Student Signature:Date: / ///Address #2:Name (First, Middle Initial, Last, Former Name):Forward Transcript to: (Enter "send to self if going to your home address)Please Print: Name of Recipient: Email Address:Phone Number:Attn: Current Mailing Address:Street or Mailing Address:City State ZipCity State ZipThe Family Rights and Privacy Act of 1974 requires the student's signature. By signing this request, I Date of Birth (optional):Address #1:UWC 7 digit ID # : / / / / / / / Social Security Number (optional):authorize UW Colleges to release my transcript to the Recipient(s) listed on this form.►Transcripts will be withheld if there is a (Financial, Business Office, Campus etc.) Hold placed on your account restricting the release of
This is the end of the preview. Sign up
access the rest of the document.