"Student Transcript Request" - Colorado

Student Transcript Request is a legal document that was released by the Colorado Department of Higher Education - a government authority operating within Colorado.

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Mail Requests to:
Colorado Department of
STUDENT TRANSCRIPT
Higher Education
REQUEST
1600 Broadway, Suite 2200
Denver, Colorado 80202
To request a transcript, please complete, sign and submit this Student Record Request form to the Department of Higher Education
(CDHE). The fee for an official transcript is $35.00 (non-refundable). NOTE: if requesting more than one copy, an additional $5.00
fee per copy is required (i.e. two official transcripts = $40, three = $45, etc.). Please remit payment to “CDHE”. The fee for an
unofficial transcript is $15.00 (non-refundable). Unofficial transcripts will only be sent electronically or faxed; official transcripts
must be sent hard copy. Please submit the form and payment together. Please do not provide your social security number.
Number of Copies #
Please check one: Official ($35)
Unofficial ($15)
Student Information
(Please type or print clearly)
Student’s Name (name used when enrolled).
First:
MI:
Last:
Date of Birth:
Current Name
First:
MI:
Last:
Current Mailing
Address Street:
City:
State:
Zip:
Day time phone number:
Email:
Fax Number (if applicable):
Student Signature:
School Information (from which institution are you requesting transcripts?)
School Name:
Dates Attended: (Month/Year)
Program Enrolled:
st
1
Copy Send Transcript to:
Name and Address (if different from above).
Mailing Address or Fax Number
Street:
City:
State:
Zip:
nd
2
Copy Send Transcript to:
Name and Address (if different from above).
Mailing Address or Fax Number
Street:
City:
State:
Zip:
Requested By
Name: (please print)
Date:
Signature:
Check/Money Order No.:
*Any additional instruction Please write on back.
Contact Information: phone (303) 862-3001
Mail Requests to:
Colorado Department of
STUDENT TRANSCRIPT
Higher Education
REQUEST
1600 Broadway, Suite 2200
Denver, Colorado 80202
To request a transcript, please complete, sign and submit this Student Record Request form to the Department of Higher Education
(CDHE). The fee for an official transcript is $35.00 (non-refundable). NOTE: if requesting more than one copy, an additional $5.00
fee per copy is required (i.e. two official transcripts = $40, three = $45, etc.). Please remit payment to “CDHE”. The fee for an
unofficial transcript is $15.00 (non-refundable). Unofficial transcripts will only be sent electronically or faxed; official transcripts
must be sent hard copy. Please submit the form and payment together. Please do not provide your social security number.
Number of Copies #
Please check one: Official ($35)
Unofficial ($15)
Student Information
(Please type or print clearly)
Student’s Name (name used when enrolled).
First:
MI:
Last:
Date of Birth:
Current Name
First:
MI:
Last:
Current Mailing
Address Street:
City:
State:
Zip:
Day time phone number:
Email:
Fax Number (if applicable):
Student Signature:
School Information (from which institution are you requesting transcripts?)
School Name:
Dates Attended: (Month/Year)
Program Enrolled:
st
1
Copy Send Transcript to:
Name and Address (if different from above).
Mailing Address or Fax Number
Street:
City:
State:
Zip:
nd
2
Copy Send Transcript to:
Name and Address (if different from above).
Mailing Address or Fax Number
Street:
City:
State:
Zip:
Requested By
Name: (please print)
Date:
Signature:
Check/Money Order No.:
*Any additional instruction Please write on back.
Contact Information: phone (303) 862-3001