TRANSCRIPT REQUEST FORM
OCCC Student ID Number __________________________________
Student’s Name (Last, First, Middle) _____________________________________________________
Other last name used __________________________ Date of Birth ________________ Date last attended ______________
(Semester/Year - optional)
Current address of student ______________________________________________________________________________
(H ou se/ Bld g # , Street, Ap artm en t # )
____________________________________________________________________________________________________
(City, State, Zip Cod e)(Cou n ty)
Contact telephone number(s) ____________________________________________________________________________
Check here to verify the above address should be used to update your account
(In d icate H om e or Cell)
Fo r Offi c e U s e On l y |
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Date Ad d ress Corrected _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ In itials _ _ _ _ _ _ _ _ _ |
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Number of copies requested _______________________
(Maximum of five per request)
NOTE: Transcript will be sent within five (5) working days of receipt of request, except during rush periods. No transcript will be furnished for any person whose financial account with Oklahoma City Community College is not clear. Any request to fax transcripts long distance will accrue a $5.00 fee.
PLEASE READ ALL CATEGORIES AND CHECK ONLY ONE:
Send immediately.
Hold until current semester grades posted (complete date last attended above)
Hold until degree is posted
Check here if you require each transcript in a separate, sealed and stamped envelope.
SEND THIS OKLAHOMA CITY COMMUNITY COLLEGE TRANSCRIPT TO:
(Requester is responsible for complete address.)
Office ______________________________________________________________________
Institution/Person
Street/Box
City ___________________________ State________________ Zip
Signature of Student _____________________________________ Date
FOR OFFICE USE ONLY
Record clear? Yes □ No □ (Reason) ______________________________________________________
Request received by ______________________________ Date transcript mailed/faxed ___________________
MAIL/FAX REQUEST TO, OR FOR MORE INFORMATION OR TO MAKE COMMENTS:
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Transcripts |
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Records and Graduation Services |
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Oklahoma City Community College |
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7777 S May Avenue |
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Oklahoma City OK 73159 |
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(405) 682-7512 |
Rev 10/13/2011 |
Fax (405) 682-7521 |
