Uintah High School Transcript Request Form
Full Legal Name (Last Name, First Name): *
Exactly as it appears on school records
Your answer
Date of Birth *
(Use format xx/xx/xxxx)
Your answer
Graduation Year *
If you attended any other high school after Uintah, you must contact that school for your transcript (example: Ashley Valley Education Center).
Your answer
Phone Number *
Use format (555)222-1212
Your answer
Email Address *
Your answer
Name and complete mailing address of person or institution to receive transcript *
Cannot process incomplete requests
Your answer
Authorization to Release Records *
I certify that I am the individual named in the transcript being requested and I hereby authorize my transcript to be released to the above named recipient.
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.