1 Contact Info 2 Third Party 3 Preview 4 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. Log in Log in with your Duck ID No Duck ID * I can't log in with Duck ID Student Information You are logged in. This information will be used to verify your identity. Last Name * First Name * Middle Name(s) Previous Name(s) List any and all former names. Use a comma to separate multiple names. UO ID# If applicable. Leave blank if unsure of accurate UO ID#. Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 SSN (last 4) Last four digits of SSN Email Address * Preferred Phone Number * Email is the primary method of contact. Please enter the best phone number to reach you at if we need to call you. Address * City * State * Zip Code * Leave this field blank
