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downloadable Transcript Request Form - University of Maine at ...

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OFFICE OF STUDENT RECORDS<strong>University</strong> <strong>of</strong> <strong>Maine</strong> <strong>at</strong> Presque Isle181 Main Street * 235 Preble HallPresque Isle, ME 04769(207) 768-9581 (voice) -- (207) 768-9458 (fax)http://www.umpi.edu/university-<strong>of</strong>fices/osrINFORMATION FOR ORDERING AN OFFICIAL TRANSCRIPTThe Family Educ<strong>at</strong>ional Rights and Privacy Act <strong>of</strong> 1974 requires th<strong>at</strong> all transcript requests be inwriting, signed and d<strong>at</strong>ed by the person to whom the record belongs. Telephone requests CANNOT beaccepted.You can assist us in giving speedy, accur<strong>at</strong>e service by providing complete inform<strong>at</strong>ion on your requestform.After signing and d<strong>at</strong>ing your request, send it to the address or fax number <strong>at</strong> the top <strong>of</strong> the requestform.There is no fee for a transcript. <strong>Request</strong>s for transcripts issued to the student are limited to 10 perrequest. The Office <strong>of</strong> Student Records reserves the right to limit unreasonable requests.Any transcript released to you will be stamped as “Issued to Student.”We are unable to fax <strong>of</strong>ficial transcripts. If a copy <strong>of</strong> your transcript is being faxed, it will be an un<strong>of</strong>ficialcopy.The issuance <strong>of</strong> partial transcripts is strictly prohibited.<strong>University</strong> policy prohibits issuing transcripts to any student indebted to the <strong>University</strong>.Revised: February 6, 2014


OFFICE OF STUDENT RECORDS<strong>University</strong> <strong>of</strong> <strong>Maine</strong> <strong>at</strong> Presque Isle181 Main Street * 235 Preble HallPresque Isle, ME 04769(207) 768-9541 (voice) -- (207) 768-9458 (fax)http://www.umpi.edu/university-<strong>of</strong>fices/osrPlease be sure to completely fill out this form to avoid any delay in processing.Allow 3-5 Business Days for ProcessingSTUDENT INFORMATION<strong>Maine</strong>Street ID# __ __ __ __ __ __ __ OR SSN# __________________D<strong>at</strong>e <strong>of</strong> Birth:Current Name:Last First MiddleAll Previous Last Names:Years <strong>of</strong> Attendance <strong>at</strong> UMPI: From: To:Your Mailing Address:City: St<strong>at</strong>e: Zip:E-mail address:Student’s Sign<strong>at</strong>ure:Daytime Phone Number:D<strong>at</strong>e:TRANSCRIPT MAILING ADDRESS(This section must be completed even if mailing transcript to address provided above. Failure toprovide an address will result in delayed processing.)For additional addresses, please <strong>at</strong>tach a list.Student is Responsible for Correct and Complete Mailing AddressPlease send ______copies <strong>of</strong> my transcripts to:Name/Organiz<strong>at</strong>ion:Attn:/ Dept:Address:City: St<strong>at</strong>e: Zip:Send My Official <strong>Transcript</strong>:TRANSCRIPT PROCESSING INFORMATION Now Deadline (d<strong>at</strong>e needed by): After My Degree Has Been Awarded. Gradu<strong>at</strong>ion D<strong>at</strong>e: (month/year)After Grades are Posted for the Semester Indic<strong>at</strong>ed: Fall Spring SummerOFFICE USE ONLYRecord Verified: Initials: <strong>Transcript</strong> Sent:Holds: Burser Loan Letter or E-mail Sent:

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