Updated 3/3/2021
Return to:
Office of the Registrar
Oregon State University, B102 Kerr Admin. Bldg., Corvallis, Oregon 97331
P 541-737-4331 | F 541-737-8123 | registrars@oregonstate.edu
Document Release Request
• Current Students: Please submit this form in person, or scan and email it from your OSU email account.
• Former Students: Please mail, or scan and email, this form along with a copy of your government-issued photo I.D.
• Third Parties: Please have the student complete this document or attached their signed consent (must be a wet-ink
signature, we cannot accept electronic signatures).
Please check one document to be released to another person:
Official Transcript Unofficial Transcript Other: __________________
Purpose of Release: _______________________________________________________________________
Student’s Name: __________________________________________________________________________
Last
First
Middle
Student’s OSU ID #:________________________
Student’s Phone: _________________________ Student’s Email: ____________________________________
I consent to receive communications about this form at the email address I provided on the form. I understand
that once an active student at OSU, all notifications will be sent to my OSU email address.
Current and Former Students:
I hereby authorize ___________________________ to pick up my document from the Office of the Registrar.
Name of person picking up document
Student’s Signature: ______________________________________ Date: ____________________________
Electronic signatures will not be accepted.
Third Party Requestors:
Name of Third Party Requestor: ______________________________________________________________
Job Title and Company Name: _______________________________________________________________
Requestor’s Phone: ___________________________ Requestor’s Email: _____________________________
Signature of Third Party Requestor: _________________________ Date: ____________________________
If the Requestor is not the Student, this is required
All persons picking up documents must bring government issued photo I.D.
