Transcript Request Form
If you have any questions or concerns, please call (315) 642-0008. You can also download this form from the High School Guidance page and mail it to:

Karen Drake-Clark
Indian River High School Office
32925 US Route 11
Philadelphia, NY 13673
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First Name *
Last Name *
Maiden Name (if applicable)
Year of Graduation *
Date of Birth *
Address Line #1 *
Address Line #2
City *
State *
ZIP Code *
Phone Number *
Email Address *
What organization do you want this transcript sent to?
Mailing Address of Organization *
Organization's Fax
Organization's Email
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