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Transcript Request Form: Sunyid # SS#

This transcript request form is for students of the SUNY Institute of Technology to request that their transcript be sent to another institution or party. The form requests the student's SUNYID or social security number, whether an official or unofficial transcript is needed, the date, how many copies are required, where the transcript should be sent, whether it should be held for current or future grades/degrees, the student's signature, payment information if applicable, and a mailing address for the completed form.

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0% found this document useful (0 votes)

57 views1 page

Transcript Request Form: Sunyid # SS#

Uploaded by

Anonymous Zaod9R

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

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TRANSCRIPT REQUEST FORM

SUNYID #
or SS #

Institute of Technology

SEND TRANSCRIPT TO:

100 Seymour Road Utica, NY 13502

(315) 792-7262 Fax: (315) 792-7802

TODAYS DATE //

q Official Transcript
q Unofficial Transcript
CHECK ONE BOX:
THIS FORM WILL BE USED IN A WINDOW ENVELOPE.
YOU ARE RESPONSIBLE FOR CORRECT AND LEGIBLE ADDRESS.

q Please mail immediately

q I will pick up the transcript
q Hold for current semesters
grades

1. Complete a separate request for each address.

q Hold for degree

2. Enclose $5 for every copy requested.

3. Requests will not be processed unless all financial obligations to the college have been satisfied.
4. Allow 5-10 days for processing and postal delivery time.
5. Official transcripts issued to a student will be labeled Issued to Student.
Signature:
TRANSCRIPTS WILL NOT BE RELEASED WITHOUT SIGNATURE.

to be posted

How many
transcripts
shall we send:

If you were last registered under a

different name, indicate former name:

YOUR NAME AND COMPLETE ADDRESS:

DO NOT WRITE
BELOW THIS AREA
Receipt #:_______________________
Remarks:
Phone No.:

______________________________

E-mail Address:

Transcript Mailed

q Check if new address.

_____/_____/_____ ______

Initial

Please make checks payable to SUNYIT: SUNYIT accepts Visa, Master Card and Discover.
Account #____________________________________ Expiration Date______________ Security Code_________
3 digit code on back of card

q Paid online

Mail this completed form to:

Bursar Office
SUNY Institute of Technology
100 Seymour Road
Utica, NY 13502

REV: 3/14 - 2 Part

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Transcript Request Form: Sunyid # SS#

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Transcript Request Form: Sunyid # SS#

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TRANSCRIPT REQUEST FORM

SEND TRANSCRIPT TO:

100 Seymour Road Utica, NY 13502

TODAYS DATE ____/____/____

q Please mail immediately

1. Complete a separate request for each address.

q Hold for degree

2. Enclose $5 for every copy requested.

If you were last registered under a

YOUR NAME AND COMPLETE ADDRESS:

q Check if new address.

Mail this completed form to:

REV: 3/14 - 2 Part

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TODAYS DATE //