Registrar
DOCUMENT REQUEST FORM (Current Student)
Current Student Information    
First Name: Middle Name:      Last Name: DOB: Pick a date
USC ID:   Other Name(s) Used at KSOM:   
Mailing Address:   Apt/Suite:
City:   State:   Zip:  
Phone:    
Email: Graduation Year:
     
TRANSCRIPTS
Transcripts must be ordered through Parchment. Click here to order: https://www.parchment.com/u/registration/34860/institution
ENROLLMENT VERIFICATION/LETTER OF GOOD STANDING
Must be ordered through Parchment. Click here to order: https://www.parchment.com/u/registration/34860/institution
Other Documents
Please submit this electronic form and follow instructions below:
* LOAN DEFERMENT - Please email deferment form to medstuaf@usc.edu.
* MILITARY REIMBURSMENT - Please email receipts and completed reimbursement form to medstuaf@usc.edu.
* JURY DUTY - Please bring original Jury Duty Summons to the Office of Student Affairs (KAM 103) and complete a form to request postponement.
AWAY ELECTIVE DOCUMENT REQUEST
Elective Information (Required)
Specialty: 
Start Date:  Pick a date   End Date:  Pick a date
Host Institution Information
Recipient's Name: 
Department: 
Hospital/Institution Name: 
Bldg., Room and Floor: 
Address: 
City:  State:  Zip: 
Requested Document(s)
 Letter of Good Standing/Approval
 Application Certification (Email form to medstuaf@usc.edu)
 Other 
Send The Away Elective Document(s) by:
 E-mail: 
 Fax: 
 Student mailing address
 Address of institution listed above
 Student will pick up
MS-IV Students Only
Letter with expected Graduation Date/Graduation Requirements Completed
Send to address:
DIPLOMA CERTIFICATION QTY: (Limit 5)
*LICENSE APPLICATION - Please email application to medstuaf@usc.edu.
FINAL TRANSCRIPT (Current Year Graduate Only) QTY: (Limit 5)
 
SPECIAL INSTRUCTIONS:(Maximum characters: 500)

Consent To Release Your Academic Record Information
To facilitate the release of my academic record to any recipient and/or address that I designate, I certify under penalty of law that I am the individual identified above and am authorized to take this action.
 I ACCEPT