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OFFICIAL Transcript Request Form 6-17-09

This document is a request form for students at Louisiana Tech University to request an official copy of their academic transcript. It provides instructions for submitting the request by fax, email, or mail and includes fields to fill out such as name, contact information, student ID number or SSN, dates of attendance, number of copies requested, and mailing address for the transcript. It notes the service is free and turnaround time for processing, and includes requirements that the request be signed and complete in order for the transcript to be released.

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Kevin Pereira
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© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
106 views

OFFICIAL Transcript Request Form 6-17-09

This document is a request form for students at Louisiana Tech University to request an official copy of their academic transcript. It provides instructions for submitting the request by fax, email, or mail and includes fields to fill out such as name, contact information, student ID number or SSN, dates of attendance, number of copies requested, and mailing address for the transcript. It notes the service is free and turnaround time for processing, and includes requirements that the request be signed and complete in order for the transcript to be released.

Uploaded by

Kevin Pereira
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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LOUISIANA TECH UNIVERSITY

REQUEST FOR OFFICIAL ACADEMIC TRANSCRIPT


FAX signed request to: Registrar’s Office, Louisiana Tech University, (318) 257-4041
or
SCAN signed request and e-mail to: [email protected]
or
MAIL this completed, SIGNED form to: Registrar’s Office
Louisiana Tech University
P. O. Box 3155
Ruston, LA 71272

(Please Print)

___________________________________________________________________________________________
(Last Name) (First Name) (Middle Name) (Maiden Name)

___________________________________________________________________________________________
(Mailing Address) (City) (State) (Zip)

CWID NUMBER OR SOCIAL SECURITY NUMBER: ________________________________

DATE OF BIRTH: ___________________ E-MAIL ADDRESS: __________________________________

Daytime Phone Number (with Area Code): __________________________________

Are you presently enrolled at Louisiana Tech? ______ Yes ______ No

If “NO”, what is the date of your last attendance? _________________

Please send ______ copies (maximum 5) of my transcript to the address indicated below.

Mail Official Now ______ Hold for final grades ______ Hold for Pick Up ______
or degree posting

STUDENT’S SIGNATURE: _____________________________________________________

Date: _________________ Signed/Sealed Envelope ________ Yes ________ No

Revised: 6-17-2009

MAIL TRANSCRIPT TO:

________________________________________________________________

________________________________________________________________

________________________________________________________________

This service is FREE and we strive for 24 hour turnaround from time of receipt to time the transcript is placed in the mail. Older
transcripts may require 48 to 72 hours to retrieve and reproduce from the archives. Special mail handling costs (e.g. FedEx) are the
responsibility of the student and must be paid for in advance (FedEx Account Number or Credit Card Number and expiration date).

Unsigned or incomplete requests will not be processed.


Requests that have holds such as traffic fines, incomplete records or past due balances will not be released until cleared.

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