Mail form to:
Admissions and Records
COCC
2600 NW College Way
Bend, OR 97703
Email form to:
transcripts@cocc.edu
Fax form to:
(541)-318-3700
Transcript Request
Central Oregon Community College
Please fill out form completely
• This request is for paper transcripts only. Same-day electronic and paper transcripts may be ordered using the National
Student Clearinghouse services located on the COCC website.
• Missing or incorrect information or past due balance may affect or delay your transcript request.
• Allow additional processing time during peak periods such as registration, start of term, final grade and degree posting.
YOUR INFORMATION (Print clearly)
REQUEST TYPE
PAYMENT INFORMATION
Last Name First Name Middle Name
Student ID # or SSN
Other names used at COCC:
Street Address
City State, & Zip
Telephone
Date of Birth
Processing Time
Standard
Hold for Grades
Name
Address
City, State, & Zip
Please send all COCC and Non-COCC transcripts on file to OSU-Cascades
Visa MasterCard Discover
I authorize COCC to release my transcripts to the addresses above.
Student Signature (Required) Date
Fee:
Processed by: Sent:
Transcripts will be processed aer
grades are posted and degrees/
certificates are awarded.
8-12 Business days
Name on Credit Card
Credit Card Number
Expiration Date
CVV
Official
Unofficial
SEND TO:
Number of copies: x $7.00 per copy = Total $
Continuing Education
OSU-Cascades (at no cost)
For COCC use only
Check one
If more than one address, write additional addresses on the back
Received_____________
click to sign
signature
click to edit
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