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Official Connecticut Transcript Request Template in PDF

The Connecticut Transcript Request Form is a document used by students to request official transcripts from the University of Connecticut. This form must be filled out completely and submitted either by fax or mail to the Office of the Registrar. It is essential for students to be aware that transcripts cannot be released if there are any holds on their accounts.

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Official Connecticut Transcript Request Template in PDF

Structure

When you need to obtain your academic transcripts from the University of Connecticut, the Transcript Request form is your go-to resource. This form is designed to streamline the process of requesting official transcripts, ensuring that you provide all necessary information in a clear and organized manner. You'll begin by filling out your personal details, including your name, date of birth, and student ID if you have it. It's important to note that if there are any holds on your account, your transcripts cannot be released, so be sure to check your account status first. The form also requires your current address and a contact number or email, making it easy for the university to reach you if needed. You'll indicate the dates of your attendance, as well as the names and addresses of the recipients who will receive your transcripts. If you need to send multiple copies, the form allows for that too, and you can simply add more recipients on additional pages. Finally, your signature and the date are essential to authorize the release of your transcripts. By following these steps, you can ensure a smooth and efficient request process.

Connecticut Transcript Request Example

Transcript Request Form - University of Connecticut

Office of the Registrar, Unit 4077T, Storrs, CT 06269-4077T

Forms are to be submitted by fax to 860-486-0062 or by mail to the address above.

Please print all information clearly and completely.

(Please note: your transcript cannot be released if there is a hold against your account.)

Student’s Name (Last, First, MI):__________________________________________________________

Date of Birth: _____/_____/_____ Student ID# (if known): _____________________________________

If you have ever attended the University of Connecticut under other names, please indicate them here:

_____________________________________________________________________________________

Student’s current home address: __________________________________________________________

Street: _______________________________________________________________________________

City: _______________________________________ State: __________ Zip: ____________________

Please indicate a phone number (with area code) or an e-mail address at which you may be reached. Phone: ___________________________ E-mail: ____________________________________________

Dates of attendance at UCONN:

First semester attended: ________________ Last semester attended: ______________________

Name and Address of a Single Recipient:Number of Copies to be sent:_________

______________________________________________________________________________

(Any additional recipients should be listed on page 2 of this form)

Please check this box if you are faxing more than one page. Number of pages: ________

I hereby authorize the University of Connecticut to release my transcripts to the recipients named on this form.

Date:_____/_____/_____ Signature:________________________________________________

University of Connecticut, Office of the Registrar, Transcript Request Form

Student's Name (Last, First, MI):_________________________________________________________________

Student ID # (if known): ______________________________________________________________________

Date: _______/_______/______ Signature: _______________________________________________________

Please Send Official Transcripts of my Academic Record to the following recipients

Please print all information clearly and completely.

Recipient #2

Number of transcripts: _________

___________________________________________________________________________________

Recipient #3

Number of transcripts: _________

___________________________________________________________________________________

Recipient #4

Number of transcripts: _________

___________________________________________________________________________________

Recipient #5

Number of transcripts: _________

___________________________________________________________________________________

To indicate additional recipients, use additional forms. On the front of these additional forms be

sure to fill in your name, student ID, and date/signature.

University of Connecticut, Office of the Registrar, Transcript Request Form

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Document Specifications

Fact Name	Description
Form Purpose	The Connecticut Transcript Request form is used to request official transcripts from the University of Connecticut.
Submission Methods	Forms can be submitted via fax to 860-486-0062 or by mail to the Office of the Registrar at the university's address.
Student Information Required	Students must provide their name, date of birth, and student ID (if known) to process the request.
Account Holds	Transcripts cannot be released if there is a hold against the student's account.
Recipient Details	Students need to specify the name and address of the recipient(s) for the transcripts and the number of copies required.
Additional Recipients	For more than five recipients, students must use additional forms and fill in their name, student ID, and date/signature on the front.
Governing Law	The release of academic transcripts is governed by the Family Educational Rights and Privacy Act (FERPA).

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