Transcript Request Form
List number of copies in box provided
NUMBER OF COPIES: OFFICIAL
NUMBER OF COPIES: UNOFFICIAL
Today’s date: _________________ Daytime phone number ____________________________
Name (Print Clearly) ____________________________________________________
‘Other’ Last Name(s) _____________________________Student ID/SSN _____________________
Email Address: ________________________________________________________________
Date of Birth ____________________ Approximate Dates of Attendance ______________________
Send transcript to (school or person): __________________________________________________
Office/Attn: ______________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: _____________________________________________________________________
SIGNATURE __________________________________________________________
The first two official transcripts within the Contra Costa Community College District are free. After this, official
transcripts are $5.00 each.
Unofficial transcripts are available for a $1.00 fee (students can print a free unofficial transcript from WebAdvisor)
Rush service is available at $10.00 additional per transcript in addition to the regular processing fee.
Express service is available for in person processing at $25.00 in addition to the regular processing fee.
Transcripts may be requested by mail, fax or in person; email is not allowed. Transcripts processed through the LMC Admissions &
Records Office will reflect LMC history only. LMC uses regular postal service only. Multiple requests will be treated as separate
requests. Check WebAdvisor prior to requesting your transcripts to ensure grades and/or degrees have been posted. We will not hold
transcript requests for grades or degrees to be posted.
Normal processing will take up to 7-10 working days. Pick up service is not allowed for normal processing.
Rush transcripts received by 3:00 pm Monday through Thursday and 12:00 noon on Friday are processed the following
business day by 10:00 am. Rush transcripts may be mailed or picked up by the student (Photo ID required). If the student has
not picked up the transcript in one month, it will be mailed to the address provided. IGETC or CSU GE certification is not
allowed for rush service.
Express Service Transcripts must be requested in person
at the main campus (Pittsburg) and is produced within one
hour.
IGETC or CSU GE certification is not allowed for express service.
Faxed Copies Must Have:
MC/VISA______________________________________
Expiration date____________Billing Zip Code_________
Revised 3-8-10
_____ Rush Request – Pick up
(Please provide student’s current address
in space above.)
_____ Rush Request – Mail
_____ Express Processing (in person only)
_____ IGETC Certification (rush/express not
allowed—must be mailed to institution only)
_____ GE Certification (rush/express not allowed)
TO MAIL THIS FORM, PLEASE SEND TO:
Los Medanos College
Admissions Office/Transcript Request
2700 East Leland Road
Pittsburg, CA 94565
(Mailed forms may be paid by check made out to “LMC”,
MasterCard or VISA)
(925) 427-6351 (Fax Number)
