OFFICE OF THE REGISTRAR
233 Glenbrook Road, U-4077
Storrs, CT 06269-4077
Phone: 860-486-3331 Fax: 860-486-0062
Email: registrar@uconn.edu
registrar.uconn.edu
Official Transcript Request Form
Return to Registrar’s Office at Storrs campus. Note: Your transcript cannot be released if there is a hold on your account.
Student’s Current Name:
Last First M
If you have attended the University of Connecticut under another name(s), please indicate below:
Date of Birth (required):
Student ID (if known): and/or NetID (if known):
Phone: Email:
Dates of Attendance: First semester attended: Last semester attended:
I would like to request an official transcript be sent to the following recipient(s):
Name and Address of Recipient #1: Number of Copies to this Recipient:
Name and Address of Recipient #2: Number of Copies to this Recipient:
I authorize the University of Connecticut to release my transcripts to the recipient named on this form.
Signature: Date:
(Handwritten signature required, we cannot accept a digital or typed signature)
FOR OFFICIAL USE ONLY
Holds/Problems:
Notified
Ready to Process
Name Letter Forms Copied
Reviewed by Date
Name Letter Included
Forms Included
Processed by Date
