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Transfer Record Request


Completing this form serves as your official notification to UCM of your intent to transfer to the below listed school. Please note: You must also sumbit a copy of your admission letter for the new school before your transfer can be completed.

Today's Date*
Last Name*
Middle Name
First Name (if none enter FNU)*
Student #*
College/University you wish record to be transferred*
Address of New College/University*
City of New College/University*
State of New College/University*
Zip Code of New College/University*
Requested Effective Release Date of SEVIS record to New College/University*
SEVIS School Code For the New College/University*
Comments
Name of Designated School Official (DSO) at New College/University*
E-mail address of DSO at New College/University*
Phone # of DSO at New College/University*
Why have you decided to transfer from UCM?*
If other, please explain.