OFFICIAL TRANSCRIPT REQUEST FORM
Transcripts also may be ordered online at the University of Richmond Parchment website. Students/Alumni receive up to 80 free transcripts.* Financial obligations (holds) to
the University must be cleared before requests can be honored. Only
UR transcripts may be requested or released. Outgoing transcripts may not be faxed.
***Please allow up to 5 business days processing time.***
PLEASE TYPE DIRECTLY ONTO THE FORM HERE or PRINT CLEARLY. Press the 'Tab' key to move to the next field.
___________________________________________________________________________
Last Name First Middle
___________________________________________________________________________
Address
___________________________________________________________________________
City
ST or Country (abbreviate) Zip Code
(________)__________________________________________________________________
Daytime Phone Number
____ Use this address information to update my permanent records
_____Current Student
School ____ Law ____ Other
____________________________________________________________________________
Name used at UR if changed
______________________________
___ or XXX - XX - ________________________
Student UR ID Number (current students MUST use their UR ID) or
last 4 digits of SSN
____________________________________________________________________________
Date of Birth (MM/DD/YYYY format)
____________________________________________________________________________
Email Address
____ Not a Current Student
Last Attended UR _______________
Degree Received (degree/date format) if applicable: __________________________
PLEASE HOLD REQUEST UNTIL GRADES ARE RECEIVED FOR (OPTIONAL)
Fall
Spring Summer ________________ (Specify term)
Please hold for degree conferral
Please hold for grade change
Email Address
____________________________________________________________
_______
***ONLY FOR ELECTRONIC TRANSCRIPTS TO AMCAS (American Medical College Application Services)***
Both fields are REQUIRED: AAMC ID (8 digits) ____________________________ AMCAS Transcript ID (7 digits) __________________
***ONLY FOR ELECTRONIC TRANSCRIPTS TO LSAC (Law School Admissions Council)***
Field is REQUIRED: LSAC ID (L +8 digits) ____________________________
I understand that my official transcript will be delivered via the method selected and that any holds currently on my record will prevent release of my transcript.
(Privacy Act: All requests require an original signature of the student. Requests without a signature will not be processed.)
I HEREBY AUTHORIZE THE UNIVERSITY OF RICHMOND TO RELEASE MY ACADEMIC TRANSCRIPT BY WAY OF:
***FOR PAPER TRANSCRIPTS*** RECIPIENT INFORMATION
Attention/Business
Name
__________________________________________________________________
Address Line 1
__________________________________________________________________
Address Line 2
__________________________________________________________________
City
____________________________ State or Country _______________ Zip Code __________
***FOR ELECTRONIC TRANSCRIPTS*** RECIPIENT INFORMATION
Recipient
________________________________
______________________________
Print out, sign, and return the completed request
form either in person, by fax, or by email (as a
signed and scanned PDF).
Fax to: (804) 287-6578
Mail to:
Office of the University Registrar
142 UR Drive
University of Richmond, VA 23173
Email to: registrar@richmond.edu
No. of Mailed Copies (First 80 transcripts are FREE*)
_________
*AFTER 80 transcripts, the fee is $1 per transcript picked up or $2
per transcript mailed, requested in sealed envelope, or sent
electronically. Law students applying to clerkships may apply for
a fee waiver through the Law School Career Services Office.
(Complete next page ONLY if additional recipients are requested.)
12/20/2018
__________________________________________________________________________________________________________________________________________________________
***Student Physical Signature REQUIRED. Forms with any type of electronic, stamped, or imaged signature will not be accepted.***
Date
Pick up at the Office of the University Registrar
Pickup in sealed envelope
_____ No. of Copies being picked up in person
Picture ID required for pick up. Signed release required if transcript will be picked up by someone other than student.
All transcripts must be picked up within 60 days.
Send ELECTRONIC transcript to the recipient in the lower section.
Electronic option available for students entering in 1992 to present.
Please see Registrar’s Office website (http://registrar.richmond.edu) for full details regarding electronic transcripts.
Mail paper transcript to the recipient in the lower section.
Write clearly as delays may occur due to incomplete or illegible addresses.
One paper copy will be mailed unless other quantity is indicated. Use address blocks on the next page for additional recipients.
Purpose of Disclosure (REQUIRED): Grad/Law School Study Abroad Other Education Internship Employment/Licensure Self
