Rev 03/04/2020
Office of the University Registrar
213 Whitmore Administration Building
181 Presidents Drive
Amherst, MA 01003
Phone: 413-545-0555 Fax: 413-545-2920
Email: regtrans@registrar.umass.edu
ON-CAMPUS TRANSCRIPT REQUEST FORM
Use this form if you want a paper copy of your transcript sent to another office located on the UMass Amherst campus or if you want
to pick up your official transcript in-person at the Office of the University Registrar
Current Name _______________________________ _
_____________________________ ________________
Last First Middle
Former Name (if applicable) ______________________________________________________________
S
tudent ID# (if known)
Date of Birth ______________________ _____________________________
E-m
ail Address
_______________________________________ Telephone Number ___ __________________________
D
ates of Attendance
____________________________
OPTION 1: Pick up your official transcript(s) in-person (takes 2 business days)
N
umber of Transcripts:
____ If being picked up by someone else, please put their name here: __
______________________________________________________________________
OPTION 2: Send paper copy of your official transcript(s) to an office on the UMass Amherst campus
(takes 3-4 business days)
Number of Transcripts: ______
Recipient Name: ________________________________________________________
C
ampus Office:
_________________________________________________________
A
ddress 1:
__ ___________________________________________________________
A
ddress 2: University of Massachusetts Amherst
City, State, Zip: Amherst, MA 01003
Print Name Date of Request
Signature (required)
