Delaware Transcript Request Form – Fill Out and Use This PDF

Revised June 2012

Transcript Request Form

INCOMPLETE FORMS MAY DELAY PROCESSING

Transcripts will be held for 30 days and then destroyed; if destroyed a new transcript request and payment will have to be submitted.

Current students who are actively attending DSU during the term of the request are entitled to 5 free transcripts throughout their whole UG/GR academic career.

Your entire academic record will be sent per request.

Receipt # __________________

Amount $__________________

Personal Information:

DSU ID #___________________or SSN# ______________________

Name: ________________________________ Name used while attending________________________

Home Address: ______________________________________________________________________

City: _______________________________State: _________________________Zip: ________________

Daytime Telephone: _____________________________

Special Instructions: (PLEASE CHECK ONE OF THE FOLLOWING OPTIONS BELOW)

฀	After Grades are Posted: Term	(Fall _____)	(Spring_____) (Summer_____)
฀	After Degree is awarded: Term	(Fall _____)	(Spring_____) (Summer_____)

Transcript Delivery Method: (PLEASE CHECK ONE OF THE FOLLOWING OPTIONS BELOW)

฀Mail (Transcript(s) will be mailed by US Mail in 3-5 business days for a total charge of $10.00)

฀Hold for pick-up (Available for pick-up in 3-5 business days for a total charge of $10.00)

(If someone other than you is picking it up

)

฀Expedite-Fed-Ex (Orders for Fed Ex overnight delivery will be processed the same day per address if received by 1:00pm ET for a total charge as follows: $30.00 United States, Allow 2-3 business days: Canada/Mexico for $35.00, and International for $45.00)

฀Same Day Pick-Up (If Transcript Request(s) is received on the business day by 1:00 pm ET it will be available for pick-up within 2-3 hours after receipt for a total charge of $20.00)

Recipient Information (Fill out a separate request for each address where transcript(s) will be mailed):

Number of Copies Requested:

Organization/Name ____________________________________________________________________________

Address (Street Address only, no PO Boxes for Fed Ex) _________________________________________________

City _________________________State___________Country___________________ZIP Code_________________

Student Signature: ____________________________________ Date: _________________________

Note: A transcript will not be released if you have any current holds on your account, so please check your account prior to making a payment and submitting this form. In accordance with federal law, records will not be released without the student consent. *DURING BUSY PERIODS, SUCH AS REGISTRATION, PRE-REGISTRATION, FINAL EXAMINATIONS, COMMENCEMENT, AND SPECIAL PROJECTS, ADDITIONAL TIME WILL BE NEEDED. WE APPRECIATE YOUR PATIENCE.*

Attn: Records Department I 1200 N. DuPont Hwy. Dover, DE 19901 I PHONE (302) 857-6375 I FAX (302) 857-6379

Revised June 2012

	Delaware State
Transcript Delivery	University & National
Methods	Student	Time
	ClearingHouse Fees
Mail	$10.00	3-5 Business Days
Hold for pick-up	$10.00	3-5 Business Days
Expedite (Per Address)
A. United States	$30.00	Overnight
B. Canada/Mexico	$35.00	2-3 Business Days
C. International	$45.00	2-3 Business Days
Same Day Pick-Up	$20.00	Same Day

Applying Online:

Go to the National Student ClearingHouse web page,

www.studentclearinghouse.org Click on the “Order/Track Transcript”

button and then follow the instructions to complete the order.

Attn: Records Department I 1200 N. DuPont Hwy. Dover, DE 19901 I PHONE (302) 857-6375 I FAX (302) 857-6379