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TRANSCRIPT REQUEST FORM 

@ 

YES NO 

 REQUEST FOR: 

 

 

NO FAX OR E-MAIL REQUEST WILL BE ACCEPTED! 

 Official Transcript - mailed directly to an institution/business. 

For each Transcript request (official or student copy) there is a fee of $7.00; however, transcripts to other CUNY institutions are 
free. Checks or money orders should be payable to: Lehman College. 

*** COMPLETE the name & address of the institution/business below*** 

 Official Transcript – mailed directly to the student in sealed envelope. 

NO CREDIT CARD PAYMENTS WILL BE ACCEPTED WITH THE MAIL REQUESTS. 

***REQUIRES the name of the institution or business below*** 

 

**If you have any Negative Service Indicator(s) on your record, your request cannot be processed without clearance from the appropriate office** 

If not, state the semester you last attended 

Undergraduate: ______________/_____ 

 

PERSONAL INFORMATION: (PLEASE PRINT) 

 

Graduate: ______________/_____ 

Last Name: 

First Name: 

M.I: 

Name while attending Lehman College (if not the same as above): 

Select one: Social Security Empl ID (CUNY First) 

 

Address: 

Contact Number: 

City: 

State: 

Zip Code: 

Email Address: 

 

 YES NO Are you an Alumni/Alumnus? 

 Would you like to update your information with 

 Alumni Relations? 



Include name of institution or business here: 

 

 

DATE OF ATTENDANCE: 

 

Are you currently attending Lehman College? 

 

YES NO 

 

 

 

FOR OFFICE USE ONLY 

 

 

 

 

 

ADDRESS WHERE TRANSCRIPT IS TO BE SENT: 

Received Date: ____/____/_____ 

Institution/Business Name: 

 

Attention: 

Address: 

City: 

State: 

Zip Code: 



Processed by: ________________ Date: ____/____/_____ 

 

Micro SIMS CUNYFirst 

 

The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C.S.123g) protects the confidentiality of student’s 
education records. Student records can only be released with the student’s written authorization. 

 

This document will not be processed without the student’s signature. 

 

 

Student Signature_____________________________________________________