Connecticut Transcript Request Form PDF Details

If you need to request a transcript from the Connecticut Department of Education, you'll need to fill out the Transcript Request Form. This form is available on the department's website, and it must be printed and filled out by hand. The form can be mailed in or faxed to the department. Make sure to include your name, address, phone number, email address, and social security number on the form. You will also need to list the institutions you attended and specify which transcripts you need. There is a $10 fee for each transcript request, payable by check or money order payable to the "Connecticut Department of Education." Transcripts will be sent within 10 business days of receiving your request.

QuestionAnswer
Form NameConnecticut Transcript Request Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesregistrar registraruconnedutrnsrpt, ct unconn transcript request, uconn transcript, how to request transcripts from uconn

Form Preview 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