Transcript Request Form
FOR OFFICE USE ONLY:
Cochise College Transcript Office
901 North Colombo Ave.
Sierra Vista, AZ 85635
800.593.9567
Office: 520.515.5351
transcripts@cochise.edu
Amount due: Received by/date:
Student ID# or SSN: Did you attend Cochise College
prior to 1985?
NO YES
Date of Birth: Current Daytime Phone #:
Complete Legal Name:
Current Mailing Address:
City, State, Zip:
E-mail Address:
Cochise College will send a notification to the email
provided when your transcript has been processed.
Please check your spam or junk folder.
Maiden Name or Other:
Mail
Official Transcript to:
Mail
Official Transcript to:
***Transcript(s) will not be sent until payment is received***
Please bill my credit card listed below:
MC Visa Disc AmEx exp date: amt: $ CRV #
Credit Card #
Credit Card billing address:
I will mail my request and enclose a check/money order
Number of Official(s)
$10.00 each printed copy
Number of Expedited Official(s)
FedEx Overnight
$85 each printed copy
Total # of Copies $ Amt. Due
SPECIAL INSTRUCTIONS:
Send as is
Hold for current semester grades
Hold until degree statement is posted
Hold until AGEC is posted
Other (specify)
***Student Signature*** Date
* Student is responsible for providing correct institution address(es).
* Transcripts will not be issued for students with outstanding financial obligation(s).
Revised 6/15
