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DCHS Transcript Request Form

Please allow 48 hours to process your request.

Complete the following information:

Name:      

                (Include maiden name if applicable):

Last four digits of Social Security Number:

Address:

Email address:

Year of Graduation: OR  date you last attended DCHS

Phone Number:

Number of transcripts you need:     Click if you need the following:

                                                                                Official Transcript(s)

                                                                                In sealed envelope(s)

Click on one of the following:

Send to my above address.

I will pick up in 48 hours.

Send to address below:

        Name/School       

        Address:              

        City, State, Zip:     

Additional Instructions: (optional)


For Office Use only:

Request Received on __________

Transcript mailed on ___________   OR  Hand delivered to ____________________

                                                                                                   on ________________

 

 

 

DCHS Transcript Request Form

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