Western Illinois University

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Transcript Request Form

FEE - There is NO FEE for mailed transcripts using this form.

Complete request form, print, and sign. Mail, fax, or scan and email request to the Office of the Registrar.

Student Information
WIU ID (or Soc. Sec. No.): - -            Email:
Name:                Previous Name(s):
Street:                Date of Birth (mm/dd/yyyy):
City:    
State:  Zip: Phone#:
Processing Options
Send Transcript
Pick Up Transcript		 Process Immediately                                   Hold For Grade Change
Hold For Grades                                                  Course:
Hold For Degree                                                  Semester:
        
To request your own official transcripts be issued to you in a sealed envelope.
Name and Mailing Address (No Email Addresses)
           Send to: 





           Send to: 




            Send to: 





           Send to: 
Authorization

PLEASE NOTE THE FOLLOWING REGULATIONS:

  1. No transcript is issued to or for a student who is indebted to the University or has an administrative encumbrance until such hold has been cleared.
  2. Ordinarily transcripts will be issued within one week. Allow at least three weeks at the end of the term.
  3. Transcripts are released only at the written request of the student.
SIGNATURE MUST BE HANDWRITTEN.

Signature:_______________________________________________________ Date:__________________________
Office of the Registrar | Western Illinois University | 1 University Circle | Macomb, IL 61455-1390
Phone: (309) 298-1891 | Fax: (309) 298-2787 | Email: R-Office@wiu.edu