Des Moines Area
Community College Transcript Request Form
Your signature is REQUIRED in order for us to release a copy of your
transcripts. Therefore,
this form must be printed and mailed or faxed to the
following:
Mailing
Address:
Des Moines Area
Community College
Transcripts, Building 1
2006 South Ankeny Blvd.
Ankeny, Iowa 50023-8995
FAX
Number: 515-965-7111
Note: Transcripts will not
be released until indebtedness to the college has been paid.
Please type your information and
print this form:
Social
Security Number:
Birth Date:
Currently enrolled at DMACC?
Yes No
Currently enrolled in High School/Dual Credit Program
Yes No
First term of
attendance:
Graduated
from DMACC?
Yes No
Special Instructions (Mark
only one)
Issue
immediately
Issue after term grades
are recorded
Issue after term
graduation recorded
Would you like a student copy or an
official copy sent to another school?
Check here if
you would like to receive an unofficial, student copy sent
to the address above.
Check here if
you would like an official copy of your transcript mailed
to another school.
Name of
Institution:
Address
Line 1:
Address
Line 2:
City:
State: ZIP:
Fees
for transcripts:
Transcripts
to be mailed:
No
Charge
Same-day
processing:
$5.00
per transcript
FAX
service
$5.00
per transcript
Provide FAX Number:
Note:
Same-day and FAX services are NOT available
during peak work periods.
FOR
OFFICE USE ONLY:
Date
Received:
Restricted:
Amount
paid:
You must sign and
date the form after printing:
Signature:
Date:
For phone transcript requests, please call 515-964-6800 or 1-800-362-2127, extension 6800.
For questions about the transcript process, please call 515-964-6396 or toll-free, 800-362-2127 extension 6396 or
6341.