Fillable ON-CAMPUS TRANSCRIPT REQUEST FORM (University of Massachusetts at Amherst)

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ON-CAMPUS TRANSCRIPT REQUEST FORM (University of Massachusetts at Amherst)

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Rev 03/04/2020
Office of the University Registrar
213 Whitmore Administration Building
181 Presidents Drive
Amherst, MA 01003
Phone: 413-545-0555 Fax: 413-545-2920
Email: regtrans@registrar.umass.edu
ON-CAMPUS TRANSCRIPT REQUEST FORM
Use this form if you want a paper copy of your transcript sent to another office located on the UMass Amherst campus or if you want
to pick up your official transcript in-person at the Office of the University Registrar
Current Name _______________________________ ______________________________ ________________
Last First Middle
Former Name (if applicable) ______________________________________________________________
Student ID# (if known) _____________________________ Date of Birth ______________________
E-mail Address _______________________________________ Telephone Number _____________________________
Dates of Attendance ____________________________
OPTION 1: Pick up your official transcript(s) in-person (takes 2 business days)
Number of Transcripts: ______ If being picked up by someone else, please put their name here:
______________________________________________________________________
OPTION 2: Send paper copy of your official transcript(s) to an office on the UMass Amherst campus
(takes 3-4 business days)
Number of Transcripts: ______
Recipient Name: ________________________________________________________
Campus Office: _________________________________________________________
Address 1: _____________________________________________________________
Address 2: University of Massachusetts Amherst
City, State, Zip: Amherst, MA 01003
Print Name Date of Request
Signature (required)
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ON-CAMPUS TRANSCRIPT REQUEST FORM (University of Massachusetts at Amherst)

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Completed 24 July 2020

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