Peralta Community College District
Admissions and Records
Admissions & Records/Cashier’s Office Use Only
Amount Due: $___________________ A&R Initials: _____________________ Date: ____________________
B
erkeley City College
College
of A
lameda
Laney
College
Merritt College
OFFICIAL TRANSCRIPT ORDER FORM
Title 5 of the California Code of Regulations provides that students' first two transcripts requested are free of charge. Additional transcripts
(3rd transcript and subsequent transcripts) are $6.00 per copy. Note:One transcript will include all courses taken at all Peralta
Community College District locations. Before ordering a transcript, ensure that your grades and degrees are posted in PASSPORT.
Signed and dated request form.
All Peralta debts must be paid and all holds must be
cleared before requests can be processed.
All mailed transcript requests must have payment
included (checks or money orders only).
Do NOT mail cash or credit card information.
Peralta Community College District
Admissions and Records Office
333 East 8th St.
Oakland, CA 9
4606
Student Information
Did
you attend prior to Fall 1970?
YES NO
Student ID:
Last First M.I.
Other names used at Peralta:
Address:
City State Zip Code
No. & Street
Email Address:
Phone:
Dates of Attendance:
From To
Send Transcripts To:
REQUEST #1
Number of copies:
Processing Type: Regular Pick-Up Same Day
MAIL TO:
Address:
No. & Street
City
State Zip Code
REQUEST #2
Number of copies:
MAIL TO:
Address:
No. & Street City State Zip Code
X
Student Signature
Date
or last 4 digits of SSN
Amoun
t
Paid: $__________________ Cashiers Initials: ___________________
Date:
____________________
Mail requests-
Mail order form and payment to:
Date of Birth:
Records Office only.
Requests will not be issued/processed if any of
the following criteria are not met
:
Rev. 08/28/2017
Processing Type: Regular Pick-Up Same Day
Allow up to 15 business days
( there is no pick up or same day
service for record prior to 1970
Mailed within 2-5 business
days
Student pick –up transcript at the
District A & R Office within 2
business days.
Available within 2 hours at the
District Admissions & Records
Office only.
$ 25 Same day fee ($19
same day service fee plus
$6.00 per copy)
$12.00 Rush fee ($6.00
r
ush fee plus $6 per
copy)
Fee
Service
$6.00 per copy
$6.00 per copy
1. Regular Delivery
2.Record Prior to 1970
3. Pick -up
Name:
Please print clearly.
Select a College:
Delivery Time
4. Same day
Transcripts
Select a College Prior to Fall 1970
