LSU Carrol L. Herring
Fire and Emergency Training Institute
Request For Department Transcript
***DEPARTMENT TRANSCRIPTS CAN ONLY BE REQUESTED AND OBTAINED BY
THE FIRE CHIEF OR TRAINING OFFICER***
Fire Department or Company Name
Mailing address
City State Zip
Contact Name (Print)
Telephone (W) (H) (Cell) (Fax)
Email Address for contact: ________________________________________________________________
Time Frame: From To
.
***We keep records from 1995 to the present.***
Signature
There is a $10.00 processing charge per transcript and the fee will not be reimbursed if no
information is found. There will also be a $10.00 charge for duplicate/replacement
transcript. Please remit payment along with this transcript request and allow 2 3 weeks
for processing.
METHOD OF PAYMENT (NO CASH)
Check/Money Order (Payable to LSU FETI)
Credit/Debit Card
Please return form and payment to:
LSU Carrol L. Herring
Fire & Emergency Training Institute
6868 Nicholson Dr.
Baton Rouge, LA 70820
Telephone: 225-334-6300
1-800-256-3473
Fax: 225-334-6341
EMAIL: cmelancon@lsu.edu
Rev 6/25/2015
* For security purposes, we will contact you via
phone to obtain card information. Please
provide the following contact information:
Contact Name: _________________________
Contact Phone Number:
__________________
Print Completed Form