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Parchment Electronic Third-Party Release Form

Current Contact Information
Third Party
Complete

This release authorizes a University of Oregon (UO) official transcript to be requested by and sent to a third party via UO's electronic transcript ordering vendor, Parchment.

Once completed, this form should be provided to the third party to be uploaded and attached to the request in Parchment.

For more information regarding transcript ordering policy and procedures, please visit registrar.uoregon.edu/transcripts.

Student Information

This information will be used to verify your identity.

Last Name

First Name

Middle Name(s)

Previous Name(s)

UO ID#

Date of Birth

SSN (last 4)

Last four digits of SSN

Email Address

Preferred Phone Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

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Parchment Electronic Third-Party Release Form

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