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Request for High School Transcript

Sierra-Plumas Joint Unified School District

PO Box 955, Loyalton CA 96118

530-993-1660

[email protected]

Request for High School Transcript

Please complete the form below. Required fields marked with an asterisk *

School Attended*

Answer Required

Year of Graduation*

Answer Required

First Name*

Answer Required

Last Name*

Answer Required

If different, Last Name at time of Graduation

Answer Required

Birthdate*

Answer Required

Current Street Address/PO Box

Answer Required

City, State, Zip

Answer Required

Primary Phone

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Email Address

Answer Required

I request an official, sealed transcript be mailed to the Institution or Individual below:

Institution or Name

Answer Required

Street Address/PO Box

Answer Required

City, State, Zip

Answer Required

I request an unsealed copy mailed to:

Institution or Name

Answer Required

Street Address/PO Box

Answer Required

City, State, Zip

Answer Required

I request an official transcript EMAILED to:

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I request an official transcript FAXED to:

Number Required

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I will pick up my transcript request in person.

Signature*

Signature Required

Transcripts will not be issued to a third party without written authorization

Answer Required

I authorize the person listed below to pick up transcripts in person on my behalf.

Answer Required

COPY OF VALID DRIVER'S LICENSE/PHOTO ID MUST ACCOMPANY REQUEST.

Driver's License/Photo ID

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Choose a file or drag it here.

Additional Instructions/Questions

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Confirmation Email

Confirmation Email *

Email Required