"Paper Transcript Request Form - Utica College Office of the Registrar" - New York

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Utica College Office of the Registrar
Paper Transcript Request Form
For students who have paid the Lifetime Transcript Fee or
1600 Burrstone Rd., Utica NY 13502
For obtaining employment at Utica College
Telephone: 315-792-3195 Fax: 315-792-3020
Complete all sections. Return by mail, fax, in person, or via email.
PLEASE SELECT ONE:
I have paid the Lifetime Transcript Fee
(Prior payment of fee will be verified. If we have no record that you have paid the fee, we will return the form to you with instructions on how to order.)
I am sending this transcript to Utica College Human Resources for employment at Utica College.
If neither of these statements are true, you must submit the online request form, available at
www.utica.edu/transcript
F
N
:
ULL
AME
Today’s Date (mm/dd/yy):
(ALL prior names):
Date(s) attended (approximate):
Date of Birth (mm/dd/yy):
Utica College ID# and/or SS#:
Student’s current mailing address:
Your Telephone Number:
Where to send Transcript
Processing Instructions (check one):
Incomplete or insufficient address information will lead to delays in processing time.
If sending to another college/university, be sure to include the name of the college/university.
Recipient Name:
Send with regular processing
(or College/University)
(3-7 Days; up to 10 days during peak times)
Street Address 1:
Send an unofficial Fax
(or Department)
Fax Number: ______________________
HOLD for Pick-up (ID required)
Street Address 2:
Street Address 3:
City, State, ZIP:
Number of Transcripts to send to this recipient:
SIGNATURE OF STUDENT:
Federal regulations (FERPA) prohibit release of a student’s records without his/her express written consent.
S
:
1. If any financial obligations to the College are not satisfied, the request
UBMIT COMPLETED FORM
form will be returned to the student at the address listed above.
Utica College Office of the Registrar
2. Please allow a minimum of 3-7 business days for normal processing time.
1600 Burrstone Road
During peak times, it could take up to 10 business days.
Utica, NY 13502-4857
3. Utica College is not responsible for postal/delivery times.
Fax: (315) 792-3020
4. Transcripts requested on this form cannot be sent
e-mail: registrar@utica.edu
electronically (e-mailed). If you wish to send a transcript
to e-mail a request, you must complete the form,
sign it by
electronically, you must complete the online form and pay the
hand (we do not accept electronic
signatures), then scan the
$4.00 processing fee.
document and attach to e-mail message.
5. We strongly suggest calling after faxing a request to confirm receipt.
6. Faxed transcripts are automatically UNOFFICIAL.
PROBLEM
HOW TO RESOLVE
 We cannot locate your records under the name provided Contact the Registrar’s Office at (315) 792-3393
 We cannot release because you have a financial hold
Contact Student Financial Services at (315) 792-3179
 We have no record that you have paid the Lifetime
Either submit proof that the Lifetime Transcript Fee was paid or submit the
Transcript Fee
request through the electronic request form.
 We cannot release because you have not signed the form
Sign and return the form
Date Mailed/Picked up:
[Form updated 10Nov2014]
Utica College Office of the Registrar
Paper Transcript Request Form
For students who have paid the Lifetime Transcript Fee or
1600 Burrstone Rd., Utica NY 13502
For obtaining employment at Utica College
Telephone: 315-792-3195 Fax: 315-792-3020
Complete all sections. Return by mail, fax, in person, or via email.
PLEASE SELECT ONE:
I have paid the Lifetime Transcript Fee
(Prior payment of fee will be verified. If we have no record that you have paid the fee, we will return the form to you with instructions on how to order.)
I am sending this transcript to Utica College Human Resources for employment at Utica College.
If neither of these statements are true, you must submit the online request form, available at
www.utica.edu/transcript
F
N
:
ULL
AME
Today’s Date (mm/dd/yy):
(ALL prior names):
Date(s) attended (approximate):
Date of Birth (mm/dd/yy):
Utica College ID# and/or SS#:
Student’s current mailing address:
Your Telephone Number:
Where to send Transcript
Processing Instructions (check one):
Incomplete or insufficient address information will lead to delays in processing time.
If sending to another college/university, be sure to include the name of the college/university.
Recipient Name:
Send with regular processing
(or College/University)
(3-7 Days; up to 10 days during peak times)
Street Address 1:
Send an unofficial Fax
(or Department)
Fax Number: ______________________
HOLD for Pick-up (ID required)
Street Address 2:
Street Address 3:
City, State, ZIP:
Number of Transcripts to send to this recipient:
SIGNATURE OF STUDENT:
Federal regulations (FERPA) prohibit release of a student’s records without his/her express written consent.
S
:
1. If any financial obligations to the College are not satisfied, the request
UBMIT COMPLETED FORM
form will be returned to the student at the address listed above.
Utica College Office of the Registrar
2. Please allow a minimum of 3-7 business days for normal processing time.
1600 Burrstone Road
During peak times, it could take up to 10 business days.
Utica, NY 13502-4857
3. Utica College is not responsible for postal/delivery times.
Fax: (315) 792-3020
4. Transcripts requested on this form cannot be sent
e-mail: registrar@utica.edu
electronically (e-mailed). If you wish to send a transcript
to e-mail a request, you must complete the form,
sign it by
electronically, you must complete the online form and pay the
hand (we do not accept electronic
signatures), then scan the
$4.00 processing fee.
document and attach to e-mail message.
5. We strongly suggest calling after faxing a request to confirm receipt.
6. Faxed transcripts are automatically UNOFFICIAL.
PROBLEM
HOW TO RESOLVE
 We cannot locate your records under the name provided Contact the Registrar’s Office at (315) 792-3393
 We cannot release because you have a financial hold
Contact Student Financial Services at (315) 792-3179
 We have no record that you have paid the Lifetime
Either submit proof that the Lifetime Transcript Fee was paid or submit the
Transcript Fee
request through the electronic request form.
 We cannot release because you have not signed the form
Sign and return the form
Date Mailed/Picked up:
[Form updated 10Nov2014]