Request for Verification

Complete the information below and press submit. Please allow two (2) business days for us to process your request.

Last Name   First Name                                                                               
Date of Birth (mm/dd/yyyy)
Student ID Number Email Address
Today's Date (mm/dd/yyyy)
Your Major       Your Academic Program (Associate Degree, Transfer, or Certificate of Achievement)
What semester did you start your studies at Palomar College?  ( example SP12, F13)
What Type of Verification Do You Need? (see below:)
Enrollment (you are currently enrolled at Palomar College)
Tuition Fees Paid
Your program information (start date, what program, expected date of completion)
Other (please explain below:

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