LCCS Official Transcript Request Form

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There is no charge for transcripts; however, all financial obligations must be met before a transcript will be released.

Official transcripts cannot be faxed or e-mailed. Failure to provide a signature or complete all fields may delay or prevent your request from being processed.

Email *

Student's First Name *

Student's Last Name *

Previous Name(s)

Date of Birth *

YYYY

Phone Number *

Dates Attended *

Number of transcripts requested *

Mail to: (list complete addresses here) *

Send *

Now

Hold for grades in progress (will be sent after the semester break)

Comments/additional instructions

Electronic Signature *

Submit

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