Brandeis University Office of the University Registrar
Transcript Request Form
To obtain an official paper transcript complete and sign this form. This form can only be used for requesting transcripts for one recipient. For
additional recipients use separate sheets. There is no charge for official paper transcripts.
Official transcripts will include all careers. Undergraduates, who enrolled in summer courses between 2004 and 2011 and wish to exclude their
summer career from their transcript, must contact The Office of the University Registrar to request a stand-alone undergraduate transcript.
Please Note: As of January 2014, official electronic transcripts can be obtained from National Student Clearinghouse
( Official electronic transcripts require a fee paid directly to the National Student Clearinghouse.
Your Sage ID can be found in your student center in Sage. Once you log into the student center (, click on the box
titled “find my sage#” at the top right of the screen.
To have your transcripts express mailed, visit our site ( for further instructions.
Student/Alumnus Information
Sage ID: 20 OR Last 4 digits of your SSN: Date of Birth:
Last Name: First Name:
Full name as it was while attending Brandeis, if different:
Email Address: Phone Number:
Dates of Attendance:
Send Transcript
Number of Transcripts to be sent to the address below:
If currently enrolled, should the request be held until all grades from this term are finalized and appear on the transcript?
Yes No
Select one (1) mailing method
I will pick up my transcript in person at the Registrar’s Office with a picture ID.
I will provide a pre-paid shipping label so that my transcript can be Express Mailed.
I would like my transcript to be sent via Regular Mail.
Send to (address):
City: State:
Postal Code: Country:
Special instructions
Permission to Release Records
I, (print name here) hereby authorize the release of my official transcript(s) to the
recipients specified above.
Signature: Date:
To submit this form, email it to, fax it to 781-736-3485, or mail it to:
Brandeis University • Registrar’s Office • Mailstop 068 • 415 South Street Waltham, MA 02453-2728