Please mail ocial transcript to: (A separate form is required for each address)
Name:
Department/An:
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:
Addional documents to be sent with transcript: IGETC Cercaon (UC ONLY) GE Cercaon (CSU ONLY)
Processing Opons: Please make checks payable to YCCD
Standard processing : 5 working days ($5 per copy aer rst two free for lifeme)
Rush processing: Immediate, in-person processing with $10 rush fee in addion to standard processing fee
Send aer 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. Addional copies cost $5 each. All transcripts will
be mailed. Processing takes 5 working days . During registraon periods, processing takes 10 working days. Available through
mail or in person at the Admissions & Records oce. No pickups. Payment must accompany transcript request.
Rush processing: For an addional $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 aer the rst two free transcripts). Rush transcript
processing is only available in person at the Admissions & Records oce. Rush processing is not available through the mail.
Documentaon 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 Authorizaon Form aached to the Transcript Request Form.
All processing mes do not include U.S Postal Service delivery me.
Transcripts are not issued unless ALL outstanding obligaons to the YCCD are cleared.
Student Signature: Date:
Revised 4/13
click to sign
signature
click to edit
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