Request for Ofcial Transcript
To request copies of this form in an alternative format, call the Disability Resource Center at 612-626-1333. The University of Minnesota is an equal
opportunity employer and educator. This form is printed on paper made from no less than 20 percent post-consumer waste.
Page 1 of 2
Complete this request form carefully. Your request will be returned if
information and/or required payment are missing. Submit your request by
mail, fax, or in person. For the fastest service and additional options, you may
order ofcial transcripts online at z.umn.edu/OrderTranscript. Do not scan
and email this form; it is not allowed. Contact your campus for assistance (see
Transcripts are not held for nal grades or degrees. Ofcial transcripts will
not be issued if you have certain types of holds on your record. Outstanding
debt with the University often prevents release of your academic record and
Submit this form
See page 2 for campus contact information.
Order online at z.umn.edu/OrderTranscript.
Continue to page 2 to enter delivery address(es).
Section A. Student information
All elds in Section A are required unless marked optional.
First name Middle Last
Name used while attending (rst, middle, last)
University ID number (if known) Birthdate (mm/dd/yyyy) Last 4 digits of SSN (optional)
Mailing address City State Zip Country
Email Phone (include area or country code)
Section B. Order summary
*Each transcript is $15.00 for those in the following: College in the Schools (CIS), Project Lead the Way, Post-Secondary Enrollment
Options (PSEO), or Talented Youth Mathematics Program (UMTYMP).
All shipments sent to an international address receive standard express shipping with a tracking number.
Choose a delivery method. All times are Central time zone. Transcript fee Shipping fee Quantity needed Subtotal
Regular service via US Mail
Mailed within 1 business day. Allow sufcient time for delivery.
Priority Overnight - Submit this form to the Twin Cities campus
Next business day delivery by 3:00 p.m. to most US addresses if order is
received by 2:00 p.m. This method cannot be used for P.O. boxes.
Section C. Student authorization (required)
Section D. Payment information
Choose one payment method.
Cash (in-person orders only)
Check or money order payable to the University of Minnesota
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Receipting and ofce use only
holds: yes no charge: yes no
# mailed ______ # given ______
Staff initials: _______________ Date: _________