TRANSCRIPT REQUEST FORM - Department of …
Frank Edelblut
Commissioner
STATE OF NEW HAMPSHIRE DEPARTMENT OF EDUCATION Division of Educator Support and Higher Education
Closed School Transcripts 101 Pleasant Street Concord, NH 03301 TEL. (603) 271-3495 FAX (603) 271-4134
Christine M. Brennan
Deputy Commissioner
TRANSCRIPT & EDUCATION VERIFICATION REQUEST FORM
Date: __________________________________
Student's Current Name: ______________________ ______ ___________________________
First
M.
Last
Student's Name & Address as Shown on Transcript: _____________________________________
________________________________________________________________________________
Name of Institution Attended: _______________________ Student ID # (if known): ____________
Dates of Attendance: ______________________ Degree Earned: __________________________
Last 4 digits of Social Security Number: ________ Date of Birth: ____________________________
Number of transcripts requested: # Official Copy(s) __________ # Student Copy(s) ___________
Name and address where you want the transcript sent: ___________________________________
________________________________________________________________________________
________________________________________________________________________________
Your Current Mailing Address & E-mail: _______________________________________________
________________________________________________________________________________
Phone: (_____)______________________ Signature: ___________________________________
NOTE: Please mail this form along with a copy of a government issued identification and include our
fee of $20.00 per transcript (money order or cashier's check, payable to: Treasurer, State of N.H.) to the name and address shown above. If there are further questions, please e-mail ClosedSchoolTranscripts@doe..
***Please be advised that processing time for transcripts (once a request is received by our office) may
be up to 30 business days, not including return mailing time. Please plan accordingly. If you would like to expedite the process you can overnight your request via FEDEX, UPS, etc., to 25 Hall St. 3rd Floor, Concord, NH 03301 along with a pre-paid overnight envelope (UPS, FEDEX or USPS) addressed to wherever you want the transcript sent.
**In-office pickup by appointment only. **We are unable to accept credit cards.
TDD Access: Relay NH 711 EQUAL OPPORTUNITY EMPLOYER ? EQUAL EDUCATIONAL OPPORTUNITIES
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