Request Form - Manteca Unified School District

Transcript Request Form
Please Print Clearly
Middle Name
First Name
Last Name
Maiden Name
City
Address
State
Zip
Last School Attended
Date of Birth (mm/dd/yyyy)
Phone Number
Calla High
East Union High
Type of Document Requested
Year Last Attended
Lathrop High
Graduation Verification
Manteca Community Day
High School Transcript
Manteca High
Immunization Record
New Vision High
Did you Graduate?
Sierra High
Official
Unofficial
Yes
Weston Ranch High
No
First Name
Middle Name
Last Name
Name Used at the Last School Attended (if different than above)
Mail Documents To:
Mail Documents To:
Name
Name
Address
Address
City
State
Zip
City
State
Zip
Due to the volume of requests, documents will be processed within 10 working days. If we are unable to retrieve your information a letter will be sent to your
current address listed above. This request will only be processed if all information is filled out.
Date
Signature
I authorize the Manteca Unified School District to release the selected documents to the addressees listed above. I understand that these documents can contain
identifying information, grade records, class standing, and test data.
Mail this form to :
Manteca Unified School District
FOR OFFICE USE ONLY
Student Services
Request Received:
P.O. Box 32
Documents Mailed:
Manteca, CA 95336
Fax: (209) 858-7530
Able to Complete
Yes
No