PLEASE FOLLOW THE INSTRUCTION BELOW
The transcript of a student's PVC academic record is released only upon receipt of a signed request by the
student authorizing the release. Application may be made in person at the Registrar's Office. Telephone
requests cannot be honored. Students can order transcripts for regular or rush service. For regular service, a
fee of $5 is charged for each official transcript. Application should be made one week in advance of the
time the transcript is needed. Through rush service the transcript is available the next working day after
receipt of the application; rush service requires a fee of $5 per transcript plus a $10 service fee. Payment is
due in advance for all transcript service. A check or money order payable to Palo Verde College should be
submitted with the application for transcript. All outstanding debts to the University (with the exception of
long-term financial aid loans not yet due and payable) must be paid in full before a transcript will be
released.
Palo Verde Community College
One College Drive Blythe, CA 92225
Registrar’s Office Fax Number (760) 921-5570
Transcript Request
Your Name, Address, & Phone Number: (Print Last Name first)
___________________________________________
___________________________________________
___________________________________________
PVC I.D.#/S.S.I. #_______________________ Sem/Yr. Last Attended_____________
Maiden Name (if any)_________________________ Birth date_______________
Send Transcript(s) to: (Please Print)
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Student Signature___________________________________ Date_____________
IMPORTANT INFORMATION
1. First two copies are freeLIPDGHLQSHUVRQPDLORUID[.
Subsequent copies are $5.00
Same Day Processing $10.00 ExtraSHUFRS\
2. Allow VHYHQ work days for processing
3. Transcripts are not released until
all financial obligations are cleared.
Send ______________Copy(ies)
and send them:
Include courses in progress
OFFICE USE ONLY
COPY COST PAID_______________
OFFICIAL______________________
UNOFFICIAL___________________
Select #
Pick One