Fillable Request for Ofcial Transcript (University of Minnesota)

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Request for Ofcial Transcript (University of Minnesota)

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Request for Ofcial Transcript
OTR186 10/19
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 ofcial transcripts online at z.umn.edu/OrderTranscript. Do not scan
and email this form; it is not allowed. Contact your campus for assistance (see
page 2).
Transcripts are not held for nal grades or degrees. Ofcial 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
ofcial transcript.
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 sufcient time for delivery.
No charge
or $15.00*
No charge
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.
No charge
or $15.00*
$15.00
Section C. Student authorization (required)
Signature Date
Section D. Payment information
Choose one payment method.
Cash (in-person orders only)
Amount enclosed:
Check or money order payable to the University of Minnesota
Amount enclosed:
Card Visa
MasterCard
AmEx
Discover Card
Card number
_ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
Expiration date
_ _ / _ _
Amount enclosed:
To ensure privacy online, open in Adobe Reader (free at Adobe.com). Please add the required signature(s) in blue or black ink.
Receipting and ofce use only
holds: yes no charge: yes no
# mailed ______ # given ______
Staff initials: _______________ Date: _________
Request for Ofcial Transcript
OTR186 10/19
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 2 of 2
Submit this form
For priority overnight requests,
submit form to the Twin Cities
campus or order online at
z.umn.edu/OrderTranscript.
Crookston
Ofce of the Registrar
9 Hill Hall
2900 University Avenue
Crookston, MN 56716
218-281-8548
(fax) 218-281-8549
Duluth
Ofce of the Registrar
139 Darland Administration Bldg
1049 University Dr.
Duluth, MN 55812
218-726-8000
(fax) 218-726-6144
On campus (with photo ID):
One Stop Student Services
23 Solon Campus Center
Morris
One Stop Student Services
105 Behmler Hall
600 East 4th Street
Morris, MN 56267
320-589-6046
(fax) 320-589-1673
Rochester
One Stop Student Services
Suite 369, 300 University Square
111 South Broadway
Rochester, MN 55904
507-258-8069
(fax) 507-258-8021
Twin Cities
Office of the Registrar
106 Pleasant St. SE
200 Fraser Hall
Minneapolis, MN 55455
612-624-1111
(fax) 612-625-4351
On campus (with photo ID):
333 Robert H. Bruininks Hall 130
West Bank Skyway
130 Coffey Hall, St. Paul
Recipient 1
Name of recipient Recipient phone (required for priority service)
Mailing address (priority or regular mail service) Apt # P.O. box
number
City
State ZIP Code Country
Choose one:
Regular mail Priority service Include attachment? Yes No
Number of transcripts
sent to this address
Special instructions
Recipient 2
Name of recipient Recipient phone (required for priority service)
Mailing address (priority or regular mail service) Apt # P.O. box
number
City
State ZIP Code Country
Choose one:
Regular mail Priority service Include attachment? Yes No
Number of transcripts
sent to this address
Special instructions
Recipient 3
Name of recipient Recipient phone (required for priority service)
Mailing address (priority or regular mail service) Apt # P.O. box
number
City
State ZIP Code Country
Choose one:
Regular mail Priority service Include attachment? Yes No
Number of transcripts
sent to this address
Special instructions
SECTION E. Student information
Current name (rst, middle, last) Name used while attending (if different than current) University ID number
SECTION F. Delivery addresses
Please note that Priority Overnight cannot be delivered to a P.O. box, Army Post Ofce (APO) address, or Fleet Post Ofce (FPO)
address. You must complete the other side of this page for this form to be processed.
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Request for Ofcial Transcript (University of Minnesota)

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Completed 28 September 2021

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