Request for Transcript or Immunization Record

This form is for former students of Laramie County School District #1 to request transcripts if they were born in 1971 or later. If you were born in 1970 or before, please contact the Wyoming State Archives at 307.777.7826.

If you are a school or employer who needs an education verification, please FAX a signed release including the student's name, name used in school (if different), date of birth and contact information to 307.771.2180.

Full name while attending school: *

Date of Birth (MM/DD/YYYY): * +

Current name, if different from above:

Phone Number: *

E-mail address *

Re-enter e-mail address *

Last school attended in Laramie County School District 1: *

Did you graduate from school selected? *

Yes

No

Year of graduation? *

What is being requested: *

Transcript

Immunization Record

How many copies would you like? *

Send to (Mark all that apply): *

Home

College

Employer

Fax

Full Address: You must provide complete mailing address (INCLUDING NAME) or information will NOT be sent. *

College Name & Address: You must provide complete mailing address for college (INCLUDING NAME OF COLLEGE) or information will NOT be sent. *

0/255 characters

Employer Name, Contact Name, & Address: You must provide complete mailing address for employer (INCLUDING NAME OF EMPLOYER) or information will NOT be sent. *

0/255 characters

Fax to (Name of Employer or College, Fax Number, and Contact Name): You must provide complete details (INCLUDING NAME OF EMPLOYER OR COLLEGE) or information will NOT be sent. *

0/255 characters

Special instructions: