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Transcript Request

Official transcripts from the University at Buffalo can be requested using this form. The form requires the student's signature and contact information. There is no cost to request an official transcript. However, transcripts will not be released if the student owes money to the university. Law, Medicine, and Dental Medicine maintain separate records and require different contact information for transcript requests.

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Stu Woodside
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Available Formats
Download as PDF, TXT or read online on Scribd
486 views

Transcript Request

Official transcripts from the University at Buffalo can be requested using this form. The form requires the student's signature and contact information. There is no cost to request an official transcript. However, transcripts will not be released if the student owes money to the university. Law, Medicine, and Dental Medicine maintain separate records and require different contact information for transcript requests.

Uploaded by

Stu Woodside
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Transcript Request Form

Return form to: Student Response Center


University at Buffalo
232 Capen Hall
Buffalo, NY 14260
Phone: 716-645-2450 Fax: 716-645-7762 Email: [email protected]

Last Name: First Name: MI: Person Number:

Official copies of your University transcripts can be requested when a stamped and sealed copy of your academic record is
required. Requests for official transcripts require the signature of the student/alumnus requesting the transcript. There is no cost
to request a transcript. The schools of Law, Medicine, and Dental Medicine (716-829-2839) maintain their own academic records
and transcript requests.

If you owe money to the University (Student Accounts, Parking & Transportation, library fines or breakage fees) we can not
fulfill your transcript request.
Former Name (if applicable):

Current Mailing Address:

City State: Zip Code:

Daytime Phone: Email: Date of Birth:

Dates of Attendance Degree(s) Awarded:

From: 1.

To: 2.

3.

Required Transcript Information


Indicate Transcript Action
Number of Transcript Copies: Hold-Current Semester Grades (available 3 weeks after exams)
Hold-Current Semester Grades w/Dean's List (avail. 6 wks after exams)
UB Study Abroad Program: Summer grades are not released until mid-August.

Send Transcript To: Hold Until Degree is Conferred Date of Conferral:


Mail to self Hold for Grade Change-Course# Semester/Year:

Mail to Third Party Mail Now

Name:

Company/Office (if applicable)

Address:

City: State: Zip code:

I authorize the release of my academic transcript. (Transcript cannot be released without your signature.)

Student Signature: Date: Last Updated: 11/2010

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