This form should be returned to the USU Registrar’s Office | 1600 Old Main Hill | Logan, UT 84322-1600 | Phone (435) 797-1116 Official Transcript Order Form Instructions: Complete this form with all applicable information. Fee payment and student signature are both required at the time of ordering. Transcripts can only be issued with a picture ID. Requests received via fax cannot be accepted. Please note that certain student holds prohibit the release of transcripts. If such holds are on your record, your transcript cannot be issued. If someone besides the student is picking up the transcript an email from the student's preferred email must be sent to [email protected] with the request. Student Information Last Name: First Name: Student ID: Email Address: Phone Number: Date of Birth (MM/DD/YYYY): Previous Last Name(s): Delivery Options - Check all that apply: Pick Up $5.00 Special Instructions: Mail. Add recipients and addresses below Recipients and Address for Mailed Transcripts Student Signature: ____________________________________________ Date: _____________________ In accordance with the Family Educational Rights and Privacy Act (FERPA) of 1974, your signature and picture ID (or the picture ID of a designee) is required to authorize the release of your transcripts. Payment Received: $___________ By: Date: Address 1 Recipient / Institution Name: Street Address: City: # of copies: Zip: Country: Address 2 Recipient / Institution Name: Street Address: City: State: Zip: Country: Orders to be held for grades or degree must be requested online at: www.getmytranscript.com U.S Postal Mail $5.00 FEDEX Domestic $25.00 $50.00 FEDEX International Email (Can only be ordered through Getmytranscript.com) State: # of copies: For Office Use Only Updated OCT 2019

Official Transcript Order Form - Utah State UniversityOfficial Transcript Order Form. Instructions: Complete this form with all applicable information. Fee payment and student signature

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Page 1: Official Transcript Order Form - Utah State UniversityOfficial Transcript Order Form. Instructions: Complete this form with all applicable information. Fee payment and student signature

This form should be returned to the USU Registrar’s Office | 1600 Old Main Hill | Logan, UT 84322-1600 | Phone (435) 797-1116

Official Transcript Order Form Instructions: Complete this form with all applicable information. Fee payment and student signature are both required at the time of ordering. Transcripts can only be issued with a picture ID. Requests received via fax cannot be accepted. Please note that certain student holds prohibit the release of transcripts. If such holds are on your record, your transcript cannot be issued. If someone besides the student is picking up the transcript an email from the student's preferred email must be sent to [email protected] with the request.

Student Information

Last Name: First Name: Student ID:

Email Address: Phone Number:

Date of Birth (MM/DD/YYYY): Previous Last Name(s):

Delivery Options - Check all that apply:

Pick Up $5.00

Special Instructions:

Mail. Add recipients and addresses below

Recipients and Address for Mailed Transcripts

Student Signature: ____________________________________________ Date: _____________________

In accordance with the Family Educational Rights and Privacy Act (FERPA) of 1974, your signature and picture ID (or the picture ID of a designee) is required to

authorize the release of your transcripts.

Payment Received: $___________ By: Date:

dre

ss 1 Recipient / Institution Name:

Street Address:

City:

# of copies:

Zip: Country:

dre

ss 2

Recipient / Institution Name:

Street Address: