LCCS Official Transcript Request Form
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 signature or complete all fields may delay
or prevent your request from being processed.
Email address *
Last Name *
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First Name *
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Previous Name(s)
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Date of Birth *
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Phone Number *
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Dates Attended *
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Number of transcripts requested *
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Mail to: (list complete addresses here) *
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Send *
Comments/additional instructions
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Electronic Signature *
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