Please mail ocial transcript to: (A separate form is required for each address)
Name:
Department/An:
Street:
City, State, Zip:
Transcript Request Form
Admissions and Records
2300 E. Gibson Rd., Woodland, CA 95776
(530) 661-5700
PLEASE PRINT CLEARLY USING BLUE OR BLACK INK
Student ID: Birth Date: / /
Name:
Last First Middle
Other Name/s Used:
Phone Number: ( )
Current Mailing Address:
City State Zip
FOR OFFICE USE ONLY: Amount: RCPT #: Received by:
Date Received: Date Processed:
Number of copies being requested:
Addional documents to be sent with transcript: IGETC Cercaon (UC ONLY) GE Cercaon (CSU ONLY)
Processing Opons: Please make checks payable to YCCD
Standard processing : 5 working days ($5 per copy aer rst two free for lifeme)
Rush processing: Immediate, in-person processing with $10 rush fee in addion to standard processing fee
Send aer nal grades are posted for: Fall 20 Spring 20 Summer 20 ($5 per copy)
Standard processing: Student receives rst two copies ever requested for free. Addional copies cost $5 each. All transcripts will
be mailed. Processing takes 5 working days . During registraon periods, processing takes 10 working days. Available through
mail or in person at the Admissions & Records oce. No pickups. Payment must accompany transcript request.
Rush processing: For an addional $10 transcript(s) will be processed while student waits. The $10 rush processing fee is in addi-
on to any fees owed for standard processing of transcripts ($5 per transcript aer the rst two free transcripts). Rush transcript
processing is only available in person at the Admissions & Records oce. Rush processing is not available through the mail.
Documentaon must be provided for name changes. Transcripts will be mailed under the current name in our system.
A Photo ID is required to request or process transcripts in person. Second or third party requests over the counter must also
have a Transcript Authorizaon Form aached to the Transcript Request Form.
All processing mes do not include U.S Postal Service delivery me.
Transcripts are not issued unless ALL outstanding obligaons to the YCCD are cleared.
Student Signature: Date:
Revised 4/13
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome