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4. Submit completed form directly to your degree auditor or to the UCLA Registrar Attn Certificate of Completion 1113 Murphy Hall Box 951429 Los Angeles CA 90095-1429. Early Certificate of Completion Request INSTRUCTIONS 1. Submit this form ONLY after you have verified through URSA that final grades are available. Before the Registrar s Office can verify that you will be awarded a UCLA degree for the current term all relevant documentation must be received by your degree auditor. This includes final grades departmental approval of courses you applied toward your major requirements and transcripts of advanced-standing work at other institutions and associated evaluation of credit toward UCLA degree requirements. Under normal circumstances the earliest this occurs is three weeks after the last day of the term. 2. Graduation date is recorded on the official transcript approximately seven weeks after the last day of the term. At that time formal proof of degree may be obtained by ordering a transcript online through URSA or in person at 1113 Murphy Hall. Use this form ONLY if an Early Certificate of Completion is needed before the transcript recording date. Early Certificate of Completion Request INSTRUCTIONS 1. Submit this form ONLY after you have verified through URSA that final grades are available. Before the Registrar s Office can verify that you will be awarded a UCLA degree for the current term all relevant documentation must be received by your degree auditor. This includes final grades departmental approval of courses you applied toward your major requirements and transcripts of advanced-standing work at other institutions and associated evaluation of credit toward UCLA degree requirements. Under normal circumstances the earliest this occurs is three weeks after the last day of the term* 2. Graduation date is recorded on the official transcript approximately seven weeks after the last day of the term* At that time formal proof of degree may be obtained by ordering a transcript online through URSA or in person at 1113 Murphy Hall* Use this form ONLY if an Early Certificate of Completion is needed before the transcript recording date. 3. FEES The first certificate of completion is free of charge. A 15. 00 fee is charged to your BruinBill account for each additional copy. Do not include payment with this form* A special processing fee may be charged to your BruinBill account if the certificate is needed before grades are posted for the term and the degree auditor must take special action to verify a grade or grades expedite a transfer credit evaluation or obtain other documentation necessary to clear degree requirements. This form may also be faxed to 310-206-4520. Full Name Last First Middle 9-Digit UCLA ID Current Mailing Address Street Country City State Major Province Canada only Telephone Winter Spring School/College Degree Earned Bachelor s Zip/Postal Code Year/Term Degree Expected Master s Doctorate Year Fall Summer NUMBER OF COPIES REQUESTED DEGREE AUDITOR INSTRUCTIONS IF CERTIFCATE CANNOT BE PROVIDED IMMEDIATELY Hold for pick-up at 1113 Murphy Hall Mail to address above Student Signature Date 011ECC 091512..

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