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Transcript Request Form

VIEWS: 14 PAGES: 1

									        IRRA, Inc.



                                                                          TRANSCRIPT REQUEST FORM

 Your One Stop Multi-Service Center




• You may download the form on IRRA’s website at www.irra.org or submit your transcript request in person, by fax or mail.
• There is a $5.00 fee for each official copy of your transcript. This can be paid by cash or money order. Payment must accompany your request.
• Your signature is required with each transcript request • Picture ID is required for pick up of transcripts.
• Transcript requests are generally ready for pick-up or mailed within 5 to 10 business days of the date that we receive your request. Your transcript
     may be delayed if your request is incomplete or if you have unmet obligations to IRRA.
• If you have authorized someone to pick up your transcript for you, a letter stating this with your signature will be required accompanied with a copy
     of a picture ID.
• There is a $5.00 handling fee for transcripts or Academic Verification from IRRA to another institution.


   Transcript Info Line                             956-393-2227                                 Email to:
   Fax                                              956-292-0371                                 Registrar@irra.org

                                                                             DATE
PRINT YOUR NAME & ADDRESS
                                                                             TELEPHONE NO.
LAST, FIRST, INITIAL
                                                                             YOUR SSN OR STUDENT ID #
ADDRESS
                                                                             YOUR SIGNATURE

CITY, STATE & ZIP


PREVIOUS NAMES




                                      YEARS ATTENDED: FROM ________________ TO ________________
 ■ PLEASE FAX TRANSCRIPT TO

                                               Name/Institution                                  FAX #

 ■ MAIL TRANSCRIPT IMMEDIATELY

 ■ WILL PICK UP TRANSCRIPT                                                 NUMBER OF OFFICIAL TRANSCRIPTS
                                                  PICKUP DATE

                                                                           NUMBER OF UNOFFICIAL TRANSCRIPTS


    NOTE: If you are giving someone else permission to pick up your transcript you must provide them with a release signed by you
    accompanied with your photo ID.


       MAIL TRANSCRIPT TO: (Fill out separate request for each address)                              OFFICE USE ONLY



 NAME                                                                             AMOUNT PAID             RECEIVED BY:



 ADDRESS                                                                          RECEIPT NO.



 CITY, STATE & ZIP                                                                ________CASH        ______MONEY ORDER



Return completed form to: IRRA, INC, - Transcripts, P.O. BOX 164, McAllen, TX 78502
Email: registrar@irra.org                                           Created by: A. De La Rosa                     Revised: 11-29-10 TRANSCRIPT REQUEST

								
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