request_mailform - Mail To UW Colleges Transcripts 780...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
Mail To: UW Colleges Transcripts 780 Regent St., Ste 130 Madison, WI 53715-2635 (608) 263-7732 OR Fax To: (608)265-9473 Black Ink Required on Faxed Forms OR Scan your signed form(s) and email to: [email protected] TRANSCRIPT 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 Zip City State Zip The 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
Background image of page 1
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 09/20/2009 for the course MUSIC 273 taught by Professor Forgot during the Spring '09 term at University of Wisconsin.

Ask a homework question - tutors are online