Transcript Request Form
In
formation & Instructions:
1. Transcript requests are received Monday through Friday from 8:00 AM to 5:00 PM.
2. Transcripts requested after 3:00 PM will not begin processing until the following business day.
3. Your account must be cleared of all holds before your request can be processed.
4. Once your transcript request has been processed there are no cancellations or refunds.
5. Failure to complete the form correctly or include payment will delay processing of your request.
6. Transcript requests may be submitted:
• By fax to 424-832-5282, Attention: Student Accounts
• By email to Student Accounts: eliza.nalbandian@casalomacollege.edu
• By mail or in person: Student Accounts, Casa Loma College, 6725 Kester Ave., Van Nuys, CA 91405
7. Fees & Payment Methods:
• Fees are $10 each for official & unofficial transcripts. There is an additional $15 for expedited requests.
• Cash, credit card (all major credit cards), or money order payable to Casa Loma College (no personal checks)
________________________________________________________________________________________________
Current Full Name: ____________________________________________________________________________________________
Name(s) as you were enrolled:
Full Home Address: City: State: Zip:
Last 4 of SSN: DOB (mm/dd):
Daytime Phone: Personal Email:
Program(s): Dates of Attendance:
Campus: CLC VAN CLC HAW CLC ANA Sonoma College Western Institute of Health
No. of Official Copies: No. of Unofficial Copies: Standard Request Expedited Request
Mail Service Options: (Check one box only) Pickup Mail
Complete address where you want transcript(s) mailed to:
Student Signature: Date:
ST
UDENT ACCOUNTS USE ONLY: _______________________________________________________________________________
Transcript Approved to Process Date of Approval/Payment Received
REGISTRAR OFFICE USE ONLY:
Transcript Mailed
Ready for Pick Up Registrar/College Official Signature
Form may be downloaded and completed
