Document Request Form
Document Request Fees:
Certificate of Enrollment – $25
Diploma/Certificate – $100
Transcript – $25
Student Tuition Statement – $25
Incomplete document requests will not be honored.
Please submit your payment in-person or by mail to:
Los Angeles Pacific College
Attn: Mary Yoon
3333 Wilshire Blvd., Suite 420
Wilshire Blvd. 90010
Documents
will not
be processed until a completed form and payment is received.
Please allow 5-7 business days for document processing following receipt of payment.
Please complete the following form below:
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Date of Request
*
Name
*
First
Last
Current Address
*
Email
*
Phone Number
*
Document Request:
*
Official Transcript
Certificate/Diploma
Certificate of Enrollment
Tuition Statement
Requesting documents for which program(s):
*
Purpose of request:
*
Personal
Submit to USCIS
Other
If you chose other, please explain:
Comment
Submit