University Registrar
www.reg.uci.edu (949) 824 - 6124
revised Jan 2021
REQUEST for VERIFICATIONS
UC IRVINE UNIVERSITY REGISTRAR
Use this form to order verifications if you attended UCI as a regular or Summer Session student. Attach any forms
that require verification. For Division of Continuing Education (DCE) students call (949) 824-5414 or email dce-records@uci.edu.
Name on UCI records (Last, First, Middle)
Current Name (if different)
Current Street Address
City
State Zip Code
Phone Number
Email Address
Former Students:
Current students can update their addresses on file through StudentAccess.
Undergraduate Student ID # (if known)
Graduate Student ID # (if known)
Date of Birth:
/
/
Social Security # (optional, not required)
* Express Delivery . . . . . . . . . . . . . . . . . . . . . . . . . .
$17.00 per copy for visitors and students in self-supporting graduate
degree programs; all other students are covered by the document fee.
additional $25.00 per address
Fees:
Make checks or money orders
payable to: UC REGENTS.
(Credit/ATM cards not accepted)
UCI Central Cashier
228 Aldrich Hall Irvine, CA
92697-1975
Send this form and payment to:
Express Delivery is sent via Federal Express or USPS Express mail.
Select the information you want to include in your verification
Option 1
Common
verifications
Degree Verification
- degree awarded
- date awarded
- major & date of birth
Car Insurance (good student)
- full-time enrollment (current & previous terms)
- GPA of 3.0 or better in their previous term
- major, level, date of birth
Health Insurance
- full-time enrollment
- major, level, student ID #, date of birth
- If SSN is req'd, also select SSN below
Option 2
Select from
the list
If the information
you want verified
is not listed,
attach a separate
sheet with your
specifications.
(NOTE: Subject
to approval. )
Enrollment Periods
specify start term & end term
Full Time Enrollment
specify term(s)
Work In Progress
specify term(s)
Student Schedule
specify term(s)
Future Enrollment (most recent upcoming term only)
Anticipated Grad Date
specify term graduating
Cumulative GPA
Current Class Level (based on units)
Date of Birth
Good Standing (must have at least 2.0 GPA)
Individual Term GPA
specify term(s)
Last Known (perm) Address
Local Address on File
Major(s)
Number of Units Completed
Previous Name(s)
Readmission
specify term
Residence Tuition Status
Student ID Number
Social Security Number
In person pickup (Valid ID required.)
Address below Current address listed above
Send my official verification to:
Name, Organization or Institution
Street Address
City State Zip Code
I authorize UCI to provide my verification(s) as instructed on this form.
Student Signature (required) Date
Registrar Use Only
EP
FTE
term (s)
Other
Ordered by
Released by
Degree
term
GdStud
term
on
on
term to term
Registrar Use Only
Update my address on file with the address above.
Driver License / DMV
- full-time enrollment
- local address, student ID #
- student ID #, date of birth
PPD
(Max 2 copies per day)
Send Now
Hold for the following:
Grades
(qtr & year)
Degree
(qtr & year)
Other
Number of Copies
