Transcript Request Form
You
will need to print this web page on your local printer and then mail or fax
it to us. See also complete
instructions for transcript requests. Cost is $10.00 per
transcript. Please
print legibly. Date:
____________________ S.S.N.
/ Student ID #: ________________________ Date
of Birth: ____________________ Name and Address
Other Information
Are
you currently enrolled? ___ Yes ___ No Did
you attend UK prior to Fall 1988? ___ Yes
___ No Did
you attend Northern Community College or Fort Knox?
___ Yes ___ No Dates
of attendance: __________________ to __________________ This office does not process
transcripts for the Colleges of Medicine or Dentistry. Mail To Address
Student's Signature
In
accordance with Federal Law and KRS 164.283, records cannot be released
without the written consent of the student. _________________________________________________ |
R009
(Rev. 07/09) University
of Kentucky Check All that Apply:
___ Mail ___ Hold
for end-of-semester grades ___ Hold
for posting of degree ___ Hold
for grade change or repeat option ___OVERNIGHT SERVICE: The University does not pay for overnight service. The cost
for overnight service will be charged to your credit card and will be billed
directly from the overnight service provider. We must have a complete street address (no post office boxes), city,
state, zip code and telephone number for overnight service. If you wish
for Saturday delivery, check the box below. There is an additional charge for
Saturday delivery. Overnight service is
not available for work completed prior to Fall 1988. ___ Yes, I want
to pay for Saturday delivery. Total # of Transcripts ______________
Payment by Credit Card
Credit Card #: ________________________ Note
Transcripts
will not be released if the student has an outstanding financial obligation
to the University of Kentucky. Transcripts sent to or picked-up by student
will state "Official Transcript Issued to Student." Office Use Only
Amt. Paid: __________ Amt. Due: _________ |