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 *
First Name *
Previous Name(s)
Date of Birth *
Phone Number *
Dates Attended *
Number of transcripts requested *
Mail to: (list complete addresses here) *
Send *
Comments/additional instructions
Electronic Signature *
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