Get Immunization Record Request Form - Three Rivers Community College - Trcc Commnet

Accurate completion of the Immunization Record Request Form is essential for obtaining your immunization records from Three Rivers Community College. This guide provides clear instructions to help you navigate the form online efficiently.

Follow the steps to complete your immunization record request form online.

1. Press the ‘Get Form’ button to obtain the Immunization Record Request Form and open it in your preferred online editor.
2. Enter your student ID number in the designated field at the top of the form. This identifier is essential for tracking your records.
3. Include the last four digits of your Social Security number in the provided field. This helps verify your identity.
4. Fill in your date of birth using the format MM/DD/YYYY to ensure clarity.
5. Provide your full name in the specified section, making sure it matches the name on record.
6. If applicable, include any previous names you have used. This is important for locating your records accurately.
7. Complete your current address, including street address, city, state, and zip code.
8. Indicate the last semester you attended Three Rivers Community College, which helps in pinpointing your enrollment status.
9. List your telephone number in the specified format to allow the college to reach you if necessary.
10. In the section asking for the name of the person or institution requesting the records, clearly state this information. If you are receiving the records yourself, write 'self'.
11. Provide the requestor's address details accurately to ensure the records are sent to the correct location.
12. If you would like the records faxed, include the fax number in the appropriate field.
13. Sign the form in the designated area to authorize the college to release your immunization records.
14. Date your signature to confirm when you completed the request.
15. After completing all fields, review the form for accuracy. Then, save your changes and proceed to download, print, or share the form as required.

Complete your Immunization Record Request Form online today to ensure timely access to your records.