OFFICE
USE
ONLY:
Processed
by:
___________
Date
Received:
Date
Processed:
Academic Operations
Mailing Address: 3501 University Boulevard East, Adelphi, MD 20783-8070
Physical Location: 1616 McCormick Drive, Largo, MD 20774
Main Office Phone: 240-684-2222 | Fax Number: 240-684-2005 | E-mail: saverifications@umgc.edu
Investigator Request for Unofficial Transcript
Please allow three (3) business days for processing and completion of requests. Requests received
after 4 p.m. will be date stamped for the following business day; processing time will begin on that
date. Should you have a substantial request (10 or more submitted within 3 consecutive business
days), allow five business days for completion.
Important Note: Please print legibly and complete the form in its entirety (a signed student release must accompany this form)
Date: ____________________ _
Student’s Full Name (include former names):
___ ___________ _______ ___________ _______ ___________ _______ ___________
Undergraduate Student
Graduate Student
Student’s Social Security #: _ _ _______________ _____ ___
Dates of Attendance (mm/yyyy): ____ _ _ _ _ to ________ _____ ________
Disciplinary Records Campus or Online
Investigator’s Full Name (please print):
Signature: ___ _______ _____ _______ _________ _________ _________ ____________ Badge
Number (required for release of transcript): _ _____ _____________ _____ ___________ Business/Agency
Name: ______________ ____________________ ____________________
Telephone: Email:
How would you like to receive the unofficial transcript? (Check one)
Fax number: _______ __ _____ _____________ _____ ____________
NOTE: If we attempt to fax your request and it’s unsuccessful, we will re-process your request to be sent via
mail. This will require an additional (1) business day. Mailing address required when checking the fax
option.
E-Mail address:
Mailing address:
_ _
_
_
_
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