TRANSCRIPT REQUEST FORM
The University of Montevallo
Records Office Station 6040
Montevallo, AL 35115
Send completed request with payment to the above address.

POLICIES RELATING TO RELEASE OF TRANSCRIPTS (Please Read Carefully)

1. Official Transcripts are available (by the student signed release) to institutions, companies, agencies etc. 
or to the student in a sealed envelope with the registrar's stamp and seal on the back of the envelope. Official transcripts can not be faxed.
2. Unofficial transcripts (student copies) are available with the student's signed release. Unofficial transcripts can be faxed

Name:___________________________________________________________________________
                           (Last)                                    (First)                                      (Middle)                              (Maiden)

Social Security Number:  _____ _____ _____ - _____ _____ - _____ _____ _____ _____

Your Mailing Address: ______________________________________________________________________

                                   _____________________________________________________________________________

                                   _____________________________________________________________________________  
 
Email address:_______________________________________     Daytime  Phone # : _______________________________

Dates of Attendance at U.M.: from__________ to _________ Degree(s) Earned:___________

Check One:  ______ Official (The first two are free.  Subsequent copies are $5.00 each)
                     ______ Unofficial (No Charge)
Check One:  ______ Send immediately
                     ______ Send when current semester grades are posted to transcript.

Mail Transcript To:  ______________________________________________________ Number of copies ______

                                             ______________________________________________________________________________

                                             ______________________________________________________________________________

                                             ______________________________________________________________________________

Fax Unofficial Transcript To:  Attn: ______________________ Fax #: _______________________

Your Signature:  ______________________________________________  Date: ___________
                                                  This Request WILL NOT BE PROCESSED Unless Signed!
OFFICE USE ONLY
Date Transcript Sent: __________________Processor: ______________Paid: ____________