Application Form for an Apostille/State Seal on Transcripts Complete this form and send it along with: UPENN Transcript Request Form University of Pennsylvania Fee Commonwealth of PA Fee Mail to: Office of the University Registrar University of Pennsylvania 3451 Walnut Street 150 Franklin Building Philadelphia, PA 19104-6291 Name: ___________________________________________________Date: _______________ Country that Requires the Apostille/State Seal: ________________________________________ Penn ID Number (not Social Security Number): _______________________________________ Date of Birth: __________________________________________________________________ Mailing Address: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ Email Address: ________________________________________________________________ Tele No: ______________________________________________________________________ Please send completed transcript to (if not to Mailing address above): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ University Fees: (dependent upon return delivery option selected) $60.00 (includes transcript, notary & delivery fees to Harrisburg as well as Express return delivery to a US address). $90.00 (includes transcript, notary & delivery fees to Harrisburg as well as Express return delivery to an International address). Payment should be made by Check or Money Order in US Dollars; payable to “Trustees of the University of Pennsylvania.” We cannot accept credit card payments. Commonwealth of PA Fees: A second check payable to “Commonwealth of Pennsylvania” in the amount of $15.00 (per document to be sealed) must be included to cover the costs assessed in Harrisburg.
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