Request Official Student Records
Use this form to request official student records including letter of academic standing, MSPE, transcripts, certified photocopies of diploma, or replacement of original diploma.
There is a $5.00 fee per transcript (no charge for currently enrolled students). There is a $15.00 fee for the replacement of the original diploma. Payment must accompany the request form. Please make checks payable to SIU School of Medicine.
PLEASE RETURN COMPLETED FORM VIA MAIL, FAX, OR EMAIL TO:
Karla Hehner, Registrar - email@example.com
Phone: 217-545-0890 Fax: 217-545-5538
SIU-SOM, Office of Student Affairs, RM 3080
P.O. Box 19624
Springfield, IL 62794-9624