USU Transcript Request Form
This is a consolidated request form for Uniformed Services University of the Health Sciences.
Email address
School Attended
Required
Check items you are requesting
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Full Name
Your answer
Method of Fulfillment
Please ensure any items you select to Fax or Email has been approved by the gaining institution.
Required
If Fax, provide a Fax number and Contact
Your answer
If Email checked, provide an Email and Contact
Your answer
Mail this information to
(You MUST provide a complete name and address of the receiving institution. Please use the COMMENT area for additional mailing instructions)
Institution Name
Your answer
ATTN
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Institution Mailing Address
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Institution City
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Institution State
Institution Zip
Your answer
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