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Transcript Request Form

Transcript Request Form

Request for High School Transcript – Fairfield Schools, Langdon, KS

NOTE:  You need to have a signature on file at Fairfield Schools in order for us to fulfill your request.  

If you need your FHS transcripts and we do NOT have a SIGNED Transcript Request on file, you will need to print one of the following links to access the form and then fill it out and mail or fax to the school.  Click here for a printable PDF form. For fillable Word document form click here

Complete the SIGNED request and fax it to 620-596-2835 or mail the completed request to Fairfield Schools, Transcript Request, 16115 South Langdon Road, Langdon, KS  67583.

Requested by:



Last Name                           

First Name                        

Previous or Maiden Name    

Birth Date:

    Year xxxx  

Year Graduated:

 Please key in 4 digit year

Last 4 digits of SSN:

Contact phone number:

 -  - 

Contact email:

Where to send transcript:

Name of school/university

Street Address  

City    State    Zip  

OR Email contact 



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