CPSD Transcript Request Form

CPSD LogoHigh School Transcript Request

Current Name

Did you graduate? 
Do you need this to be an Official Transcript for School or Employment? 
If YES, please do not open the envelope that the Transcript arrives in. This will invalidate the Transcript.
($3.00 for each copy requested)
This signature authorizes the release of my transcript, to be forwarded as requested above.

Send Money Order or Company Check ONLY for $3.00 per transcript.
Make payable to: Clover Park School District
Personal checks will not be accepted.
Cash will be accepted in person only.
Mail completed form and fee to:
if not addressed exactly as shown, mail often goes missing
Clover Park School District
Student Services Department
10903 Gravelly Lake Drive SW, #5
Lakewood, WA 98499-1341
We are very sorry, but we are unable to accept electronic payments, credit/debit card payments, or faxed requests.
For District Use Only: Date transcript requested: Date Transcript issued:
Picked up in person Mailed to Student Mailed to School/Company Faxed Emailed
Amount Received: Cash Check/MO #: Receipt#: