Admissions & Records
College of the Siskiyous, 800 College Ave., Weed, CA 96094
Phone: (530) 938-5500 - Fax: (530) 938-5367 Email:
Transcript Request
Please complete all sections. Incomplete requests will not be processed.
Last Name: First Name: MI:
Maiden Name/Other Names:
Date of Birth: Student ID#: S00 or SSN:
Mailing Address: Phone:
City: State: Zip Code:
Number of copies:
If currently enrolled at COS:
Send now
Send at end of the semester: Term
Send after degree posted: Award Term
Send after certificate posted: Award Term
Please check if you attended College of the Siskiyous prior to 1990
Approximate attendance dates:
Policy Regarding Issue of Transcripts:
1. Your first two transcripts ever are free. Additional transcript fees are:
$5.00 per official
$20.00 per emergency transcript (Must be requested before 3:00 pm, Mon. -Thur)
2. All transcript fees must be paid at time of request.
3. Transcripts are not issued until all outstanding accounts with COS are paid.
4. We do not fax or email transcripts.
I authorize College of the Siskiyous to charge any past debts owed to the college and/or the cost of this request to my credit/debit
Method of Payment: Check (mail-in) Cash Credit Card: VISA MasterCard Discover
Card # Expiration Date: CVV2 (3-digit code on back)
Name on Card: Authorizing Signature:
Send Transcript to: (Student is responsible for providing correct mailing address)
City: State: Zip Code:
PROCESS TIME: Transcripts will be processed within 3 business days, but may take longer during peak times.
Emergency Transcripts will be processed and mailed or available for pick up within 24 hours. Once we turn a
transcript over to the postal service, we will not be responsible for the delivery time.
Office Use Only
Clerk Date Sent