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Urbana University Transcript Request Office of the Registrar 579 College Way Urbana OH 43078 FAX 937-484-1222 All information on this form must be completed including a signature and the transcript fee of 8. 00 each must be received before transcripts can be processed usually 2-3 business days. Transcripts cannot be issued if there is a hold on your account. Signature Date Please send my transcripts to the following Attention Name Select one An additional 8 charge is required for faxed transcripts Undergraduate Transcript Masters Transcript Number of transcripts requested Send immediately Hold for pickup on Hold for final grade this term Hold for degree Date time of pickup Complete one of the following Current class year if current student Graduation date if graduate Last year attended if non-graduate Billing Office Information Payment Method Office Use Only Date Rec d Charge Amt Initials Check payable to Office of Registrar Urbana University Visa Mastercard American Express Discover For charge card all information below must be complete. Urbana University Transcript Request Office of the Registrar 579 College Way Urbana OH 43078 FAX 937-484-1222 All information on this form must be completed including a signature and the transcript fee of 8. 00 each must be received before transcripts can be processed usually 2-3 business days. Transcripts cannot be issued if there is a hold on your account. It is your responsibility to be sure all holds are cleared* To verify there are not holds on your account please call the Business Office at 937-4841358 or 484-1329. Return completed forms by mail or fax to the Office of the Registrar at the address or fax number above. Name as shown on Transcript Social Security Number Address City State ZIP Daytime Phone Fax Under provisions of the Family Educational Rights and Privacy Act of 1974 I authorize the Registrar to release a transcript or transcripts of my academic record to the individual s and/or organization stated on this request. Name as it appears on card Card Number Card Security Code Expiration Date Address to send receipt if different from above. 00 each must be received before transcripts can be processed usually 2-3 business days. Transcripts cannot be issued if there is a hold on your account. It is your responsibility to be sure all holds are cleared* To verify there are not holds on your account please call the Business Office at 937-4841358 or 484-1329. It is your responsibility to be sure all holds are cleared* To verify there are not holds on your account please call the Business Office at 937-4841358 or 484-1329. Return completed forms by mail or fax to the Office of the Registrar at the address or fax number above. Return completed forms by mail or fax to the Office of the Registrar at the address or fax number above. Name as shown on Transcript Social Security Number Address City State ZIP Daytime Phone Fax Under provisions of the Family Educational Rights and Privacy Act of 1974 I authorize the Registrar to release a transcript or transcripts of my academic record to the individual s and/or organization stated on this request.

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Keywords relevant to Urbana University Transcript

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