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Transcript Release Form

Note: Please accept this signed form as authorization to send out my official Transcripts from the University of Fort Lauderdale.
* = Required Fields
Please accept this signed form as authorization to send my official transcript to the school listed below
Please accept this signed form as authorization to send a student copy of my transcript to me at the address listed below
  I attended your school during the following year(s)
  Year
     
  Date of Birth
 
Last Name *   Student ID#
 
Mailing Address   Phone Number *
 
City   Zip Code
State
     
Name of School/Organization to submit transcript   Address of School/Organization to submit transcript
 
City State
  Zip Code
     
Name of School/Organization to submit transcript   Address of School/Organization to submit transcript
 
City State
  Zip Code

There is a $5.00 fee for each official transcript requested and $3.00 fee for each student copy.  All financial obligations to UFTL must be cleared prior to the release of a transcript. Please make checks payable to UFTL.

Please allow 3-5 business days to process your request
AN EQUAL ACCESS/EQUAL OPPORTUNITY INSTITUTION

Please Initial *

Date MM/DD/YY*
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