OFFICIAL TRANSCRIPT REQUEST FORM INSTRUCTIONS
Complete all sections of the form as indicated below.
Section#
1-2 Clearly print your complete name and any other names you may have used while in attendance at CSU,
Chico.
3 Clearly print your current contact information including mailing address, daytime telephone number,
and email address. It may be necessary to contact you regarding your transcript request.
4-5 Indicate your Student ID or Social Security Number and Birthdate.
6-7 Provide your hand-written signature and today’s date. Transcripts will be issued only at the request of
the student and this signature authorizes release of the transcript.
THE STUDENT’S SIGNATURE IS REQUIRED.
8 Teachers should select this box if this request is for pursuing a salary increase.
9 Select one Processing Option:
Now, Regular processing
7-14 business days plus additional time for mailing
Delivered by U.S. Mail only
Now, Rush processing*
2-5 business days plus additional time for mailing
$8.00 additional fee
Delivered by U.S. Mail only. For FedEx delivery, order online at
www.csuchico.edu/sro/transcript/index.shtml
Hold for Degree
Indicate the degree and semester. Degrees are typically awarded 8-10
weeks after the official graduation date for the semester.
Hold for Grades
Ind
icate the semester grades to be included. Only for current or future
semesters. Grades are typically released 3 weeks after the grades
deadline for the semester.
Hold for Grade or Other
Change
I
nd
icate the expected change that the transcript request should be held
for.
It is the student’s responsibility to ensure that grades and/or degrees are posted when Now
is selected.
Hold for requests will be processed within 7 business days of the change or update to the student
record.
10 Indicate the number of transcripts requested on this form.
11 The Amount Due is determined by the number of transcripts per recipient and the selected Processing
Option. Use a new form for each recipient.
Amount Due
Total Transcripts Requested for
each recipient
1 2 3 4
5 6 7 8 9 10
Cos
t
$4 $6 $8 $10 $12 $14 $16 $18 $20 $22
Total Transcripts Requested for each recipient
11 1
2 13 14 15 16 17 18 19 20
Cost
$23 $24 $25 $26 $27 $28 $29 $30 $31 $32
*Add an additional $8 to the fee listed above if
Now, Rush processing
selected to determine the total Amount Due.
12
13
Select one Delivery Option. Include the complete mailing address for your transcript if you select
“MAIL TO ADDRESS BELOW”. Indicate if it should be sent to the attention of a specific party or
department. Use a new form for each recipient.
Transcripts selected for PICK UP are destroyed after 30 days if not retrieved.
Enclose a check or money order payable to CSU, Chico. Orders placed on campus may pay with
cash or WildCat Card.
Completed request and payment should be mailed to: Office of the Registrar
CSU, Chico
Chico, CA 95929-0720
If you prefer to pay by credit card, order online at www.csuchico.edu/sro/transcript/index.shtml
OFFICIAL TRANSCRIPT REQUEST FORM
Office of the Registrar
California State University, Chico
Chico, CA 95929-0720
Phone: (530) 898-5142 Email: registrar@csuchico.edu
PLEASE PRINT
1. NAME
____________________________________________________________________________________________________________
Last First Middle
2. OTHER NAMES USED:____________________________________________________________________________________
3. CURRENT CONTACT INFORMATION
_________________________________________________________________________ __________________________________
Number & Street Apt. No.
___________________________________________________________________________ ____ ____________________________
City State Zip Code
__________________________________________ _________________________________________________
Daytime Phone Number E-Mail Address
4. STUDENT ID OR SOCIAL SECURITY NUMBER
__________________________________________
5. BIRTHDATE
_______ _______ ________
Month Day Year
6. STUDENT SIGNATURE
___________________________________
Signature Authorizes Release of Student Records
7. TODAY’S DATE
______________________________
8. TEACHERS Check here if requesting transcripts for salary increase
9. PROCESSING OPTIONS (select one):
Now, Regular processing
7-14 business days plus additional time for mailing
Now, Rush processing*
2-5 business days plus additional time for mailing for an additional $8
Hold for Degree
Bachelor’s semester:______________ Master’s semester:________________
Typically available 8-10 weeks after the official graduation date for the semester.
Transcript will be mailed within 7 business days of degree.
Hold for Grades
Semester:______________________
Grades are typically officially released by the University 3 weeks after grades deadline
for semester. Transcript will be mailed within 7 business days of the official release.
Hold for Grade or Other Change
Change (if grade or other academic record update include semester and class
information):___________________________________________________________
10. NUMBER OF TRANSCRIPTS REQUESTED
11. AMOUNT DUE:
$_______________
See Amount Due chart on Instructions page.
*Add $8 to chart amount if Now, Rush processing selected above.
Enclose a check or money order payable to CSU, Chico.
If you prefer to pay by credit card, order online at www.csuchico.edu/sro/transcript/index.shtml
12. DELIVERY OPTIONS (select one):
PICK UP (Photo ID Required) MAIL TO ADDRESS IN SECTION 3 MAIL TO ADDRESS BELOW
Use a new form for each recipient. PLEASE PRINT.
Name
Address
City State Zip Code
Current semester courses appear the first day of the semester. Your transcript will show only work completed at
California State University, Chico. Transcripts from other institutions are not available.
Official Use Only:
Srvc Ind Enrolled Y N 4 6 11
Receipt # Amount
Official Use Only:
PR # Both Only
ID:
*Add $8 to chart amount if Now, Rush Processing selected above