Revised November 2014 TRANSCRIPT REQUEST FORM 80 Vandenburgh Ave, Troy, NY 12180 (518) 629-4574 www.hvcc.edu Submission: Submit this form to the Regis...
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TRANSCRIPT REQUEST FORM 80 Vandenburgh Ave, Troy, NY 12180 (518) 629-4574 www.hvcc.edu Submission: Submit this form to the Registrar’s Office in-person with picture ID, by mail to the address above or via fax at (518) 629-8094. Transcripts can also be printed and provided to a student in-person during regular business hours (photo ID is required). By federal law, e-mailed requests cannot be considered as consent for release of transcript information. Web requests: Transcripts may be requested online via your HVCC WIReD account. Would you like your username and password mailed to you so you can access WIReD? Yes No (Please note your username and password must be mailed to the permanent address on file at the college.) Processing: All requests are processed within 3 to 5 business days. Requests received via fax will be processed with those received by mail. Transcripts cannot be released without student signature. Any incomplete requests or those that cannot be processed due to outstanding financial obligations with the college will be returned to the student at the address provided below. Fees: No fee is charged for transcripts sent via U.S. mail. There is a $10 fee for the Registrar’s Office to send an unofficial transcript via fax (see “fax payment information” below).
______________________________________________________ Phone: (________) _____________________________________ Did you attend prior to 1971? Yes No
Yes
No
Name changes must be accompanied by a social security card. Your name on file with the College must match your name as filed with the Social Security Administration Those not eligible for a social security number must provide other legal documentation (i.e. ITIN letter or court documentation).
Please send my Hudson Valley Community College transcript to the following address(es): Request #1: ______________________________________
Fax Number (if unofficial transcript is to be faxed)
Fax Number (if unofficial transcript is to be faxed)
Transcript(s) will be sent immediately unless otherwise indicated below: send transcript after degree/certificate is posted: expected completion date ____________________ send transcript after final grades are processed for the ____________________ semester send transcript after revision of __________________________________________________________________________ STUDENT SIGNATURE _________________________________________________
Date ____________________
Transcripts cannot be released without student signature.
Date sent _______________ Registrar Initials _______________
Fax Payment Information: The fee to send an unofficial transcript via fax is $10 per transcript. I have enclosed a check or money order in the amount of $_______________ payable to Hudson Valley Community College. Please enclose the original check or money order. Copies of checks or money orders will not be accepted.
I authorize Hudson Valley Community College to charge my credit card in the amount of $_______________. Card type (debit cards not accepted): MasterCard VISA Discover Card #: __________________________________________ Security Code ___________ Expiration Date _______________ Cardholder Signature __________________________________________________________________________________ Revised November 2014
