Record Request Form This form must be completed and submitted to the Office of the Registrar in order to obtain copies of education records on file: Only the student or the party with signed consent from the student in accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA) may request records for that student. Only copies of records will be provided, not the actual records themselves (reissued diplomas may be requested via the Reissued Diploma form and require a duplication and special handling fee). While it is standard for institutions to charge for record requests, such as transcripts, RVU does not; however, expedited mail requests and reissued diplomas will require an additional fee. Current students can print unofficial transcripts via MyVista. A separate form must be completed for each recipient. However, multiple documents for the same recipient can be submitted on the same form.STUDENT INFORMATIONStudent name:* First MI Last Program:*DOMSBSPACampus:*COUTClass or graduation year:*Birth date:* Date Format: MM slash DD slash YYYY Student ID or last 4 digits of SSN:*Phone:*Email:* Mailing address:* Street Address City State ZIP / Postal Code RECORD DETAILSSelect all that apply and enter the quantity needed for each.Document* Note: Enrollment Verification (EV) – The EV contains dates for this academic year and expected graduation date, stating the student is in good academic standing and has no clinical or evaluation details. Letter of Good Standing (LOGS) - This detailed document must come from the student’s Clinical Rotations Coordinator. Enrollment Verification (EV) Official Transcript Dean's Letter/MSPE Diploma Copy Background/Health Records Form to be completed/signed by the registrar Military request Other Please specify for Other:*Quantity of official transcript:*Quantity of enrollment verification (EV):*Quantity of dean's letter/MSPE:*Quantity of diploma copy:*Quantity of background/health records:*Quantity of form to be completed/signed by registrar:*Quantity of other:*Please upload the form here:* Drop files here or Comments:DELIVERY METHODSelect the delivery method and provide the address if different from above. A separate form must be completed for each recipient.Method:*MailEmailUpload to websitePick up from registrarMailing address:*Same as aboveOther addressSpecify other address:* Street Address Address Line 2 City State ZIP / Postal Code Email address:*Same as aboveUpload to website:*VSLOERASProof of identification required (e.g. driver’s license, passport, student ID)ACKNOWLEDGEMENT*I am the student requesting my own records for myself or for another.I am the holder of signed consent from the student in accordance with FERPA.Please attach signed consent document.* Drop files here or Name:*Signature:*Date:* Date Format: MM slash DD slash YYYY After submitting, there is no need to follow up with a second form or by email/phone, as doing so will push your request out and cause delay of processing.