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Click ‘Get Form’ to open the UPMC Authorization School Form in our platform.
Begin by filling out the 'Student Information' section. Enter your full name, any previous name used during attendance, address, city, state, zip code, email address, social security number, phone number, and graduation date.
In the next section, specify the parties to whom you authorize the release of your academic transcript. Fill in their names and addresses accurately.
Review the liability release statement carefully. Ensure you understand that you are releasing faculty and administration from any liability related to this transcript release.
Remember to include a payment of $5.00 for the transcript request. Indicate how you will send this payment (check or money order) along with the completed form.
Finally, sign and date the form before submitting it via mail to the appropriate UPMC Shadyside School of Nursing address provided on the form.

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