Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091 / Student Services Center, First Floor Rm 101 / Phone: (808) 932-7447 / Fax: (808) 932-7448 / E-mail: uhhro@hawaii.edu
Complete the form-fillable request below and fax to (808) 932-7448 or mail to the address above. You can also visit our office in person in the Student
Services Center or the Cashier’s window located in the Student Services Center Rm W-101. Please sign the Transcript Request and call our office at (808) 932-
7447 within fifteen minutes after it’s faxed to verify we received your request. If you need transcripts sent to more than one location, complete a form for
each location. TRANSCRIPTS WILL NOT BE PROCESSED IF STUDENT HAS A FINANCIAL OBLIGATION HOLD ON THEIR ACCOUNT. Processing time of all
transcripts include production but not mailing/delivery time. Rush processing does not include overnight mailing. Transcripts are sent via US Postal Service
by First-class USPS postage. Special mailing options (priority and express) are an additional charge. Official transcripts of credits earned at other institutions
are not available for distribution by UH Hilo. Exception: for attendance between 1941 to Summer 1992 at Hawaii Community College.
SECTION I: Student Information
Name: Student ID or SSN:
Street Address: Birthdate:
Other Name(s) Used: Email: Phone:
Dates of attendance from: to: UH Hilo after Spring 1992 Hawaii Community College/UH Hilo 1941 to Summer 1992
Student Signature: Date:
SECTION II: Processing Instructions SECTION III: Special Processing Instructions
Select ONE processing method: Fax:
Now, although some grades may be missing
Attach form to transcript
AFTER final grades are entered for the semester
Other:
AFTER degree is conferred for the semester
SECTION IV: Ordering and Fee Information SECTION V: Special Mailing Options
Select ONE: Additional* Charge WILL apply:
(Qty) Regular $5.00 per copy
(Processed within 7 business days upon receipt of request and payment) Priority Mail
(Qty) Rush $15.00 per copy Express Mail
(Processed by the end of the next business day upon receipt of request and payment)
*Please refer to our transcript website for pricing:
NO charge for transcripts sent to any UH System Admissions Office https://hilo.hawaii.edu/registrar/transcripts.php
SECTION VI: Delivery Instructions SECTION VII: Credit Card Payment Information
Select ONE processing method:
Cardholder’s Name:
Student pick up VISA MC Dollar Amount:
Authorized pick up person: Credit Card Number:
Mail transcript to (student is responsible for correct mailing address): Expiration Date: CVV2 Code:
Cardholder’s Phone Number:
Billing Address:
Cardholder’s Signature:
For Office Use Only: SOAHOLD SHACRSE Microfilm: Processed:
FOR CASHIER’S OFFICE USE ONLY:
Amount Paid: __________
VISA / MC / CC Other / MO / Cash / Check #:________
Date Paid: ______________ Cashier: ______________
The Family Educational Rights and Privacy Act of 1974 forbids you to disclose any information about the
student, which contained in this document, to any other party, either outside your organization or outside
the purpose for the disclosure without first obtaining the written consent of the student.
Transcripts released to the student are official and will be stamped “Issued to Student.” All
transcripts are sealed unless requested otherwise.
By signing this payment authorization form, I acknowledge that this fee
is non-refundable and non-transferable.
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