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UW Madison Transcript Order Form

Blank form to order transcripts

Uploaded by

sm93250
Copyright
© © All Rights Reserved
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
0% found this document useful (0 votes)
31 views1 page

UW Madison Transcript Order Form

Blank form to order transcripts

Uploaded by

sm93250
Copyright
© © All Rights Reserved
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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Order an Official UW-Madison Transcript

For faster transcript processing, submit an online order at registrar.wisc.edu/transcript.

Personal Information
First name Middle name Last name

Other names while attending Date of birth (mm/dd/yyyy) First attended Last attended

Email address Student ID (if known)

Current address

City State Zip code Country (if non-US)

Recipient PDF Emailed to: _________________________________________________________


PDF transcripts are not Send to Self at Address Above…………………………..No of copies (1-5): _____
available to students who
attended UW-Madison Send to Individual at Address Below…………………..No of copies (1-5): _____
prior to 1978.
Recipient Name

Address

City State

Country (if non-US) Zip code

I have an attachment (Ex. AMCAS, PHARMCAS, LSAC, etc.)


Include all attachments with this order.

Delivery Method US Mail (Domestic/International) – No charge


PDF (Emailed) – No charge
FedEx service payable with
FedEx: Domestic- all states ($30) International ($55)
check or money order only.
If payment for FedEx delivery is not included, the transcript will be sent by US Mail.

Signature Required I authorize release of my transcripts as directed on this UW-Madison form.

Handwritten or electronic
signatures only. A typed
name will not be accepted. X Date

Office of the Registrar


University of Wisconsin-Madison 333 East Campus Mall, #10101 Madison, WI 53715-1384
(608)262-3811 Fax: (608)265-8946 Email: [email protected] www.registrar.wisc.edu

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