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 $5 per transcript. Please print legibly.

Date: ____________________

S.S.N. / Student ID #: ________________________

Name and Address

Other Information

Academic Unit:   ___ Undergraduate   ___ Graduate   ___ Law   ___ Pharmacy

Did you attend UK prior to Fall 1988?   ___ Yes   ___ No

Are you currently enrolled?   ___ Yes   ___ No

Dates of attendance:   __________________ to __________________

Transferring to another public Kentucky university/college?   ___ Yes   ___ No

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.

_________________________________________________

R008 (Rev. 7/06)

University of Kentucky
University Registrar
10 Funkhouser Building
Lexington, KY 40506-0054
(859) 257-3671
Fax: (859) 257-7160

Check All that Apply:

___ Mail
___ Pick-up
___ Place each transcript in an official envelope with Registrar's stamp

___ Hold for end-of-semester grades
___ Fall
___ Spring
___ 4-week
___ 8-week

___ Hold for posting of degree
Degree _______________________

___ Hold for grade change or repeat option
Course _______________ Grade ____

___ Immediate Service ($8)

Does not include overnight service.

NOTE: Immediate service may not be available for records before 1988. These records may take several days to retrieve.

Total # of Transcripts

Payment by Credit Card

Credit Card #: ________________________
3-Digit Verification Code (on the back of credit card) __________
Exp. Date: _________
___ Visa
___ MasterCard

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: _________
Received by: ________ 017  Checked: ______