Transcript Request Form
To have copies of your transcripts mail
Name:
Your answer
Name While Attending School:
Your answer
Date of Birth
MM
/
DD
/
YYYY
Email Address:
Your answer
Daytime Phone Number:
Your answer
Last Year Attended:
Graduation Date:
Mail Transcripts to:
Your answer
Additional Information:
Your answer
Digital Signature:
Please type your full name including Middle Name as your signature.
Your answer
Note:
If you are re requesting the transcript be sent directly to you or somewhere other than an educational institution, you must send a copy of a photo I.D. to the following:

Mail:
Dallas County R-1 Schools
Debbie Franklin, Custodian of Records
309 W Commercial
Buffalo, MO 65622

Email: debbie.franklin@bisonpride.org

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