Harford County Public Schools
AUTHORIZATION TO RELEASE HIGH SCHOOL TRANSCRIPT (Former Student)
Demographic Information:
Name When Enrolled in HCPS: Last______________________________ First_____________________________ MI________
Current Name (if different): Last______________________________ First_____________________________ MI________
YOUR Current Address: ________________________________________________________________
City: State: __ ZIP Code: _____
Date of Birth: / / Phone: ______________________
Email: __________________________________
Your last HCPS School of Attendance: ______________________________________________________________
Month/ Year of Graduation: _______________ OR Year of Withdrawal: (non-graduate) _________________
Where would you like your transcript sent? (Please use “special instructions” area for additional requests.)
Organization: __________________________________________________________ Attention: _________________________
Address: ______________________________________________________________________
City: State: _ _ ZIP Code: ______
Phone: ______________________ Fax: ________________ Email: _____________________
Email: __________________________________
Please indicate special instructions:
Authorization Notification
As the individual about whom this information is being requested, I hereby authorize the Office of School Counseling of the Harford County Public
Schools system to release information concerning my records. I understand that the recipient of the records(s) will use said document(s) for legitimate
interests only and that the information contained therein shall not be further transferred or communicated to any other party or agency without my
expressed written consent except under authority of Public Law 93-380, Educational Rights and Privacy Act.
REQUIRED Signature: Date: / /_____
Note: A third party may have requested your transcript be issued to them with the envelope seal unbroken.
Opening the envelope will render the transcript invalid or unofficial. Please order two transcripts if you
need a copy for personal use.
INSTRUCTIONS:
1. Print, complete, and SIGN this request form. Note: Typed signatures are not acceptable.
2. EMAIL or MAIL completed request to your high school.
3. Please allow 10 - 14 business days for processing.
Rev. 03/2023
SCHOOL ADDRESS MAIN OFFICE SCHOOL COUNSELING OFFICE
PHONE & FAX NUMBERS
Aberdeen High 410-273-5500 410-273-5585
251 Paradise Road Fax – 410-273-5587
Aberdeen, MD 21001-2399
Alternative Education – CEO 410-273-5594 410-273-5594
Swan Creek Fax- 410-273-5592
253 Paradise Road
Aberdeen, MD 21001-2492
Bel Air High 410-638-4600 410-638-4606
100 Heighe Street Fax – 410-638-7953
Bel Air, MD 21014-4196
C. Milton Wright High 410-638-4110 410-638-4270
1301 N. Fountain Green Rd Fax – 410-638-4612
Bel Air, MD 21015-2599
Edgewood High 410-612-1500 410-612-2071
2415 Willoughby Beach Road Fax – 410-612-1585
Edgewood, MD 21040-3496
Fallston High 410-638-4120 410-638-3542
2301 Carrs Mill Road Fax – 410-638-4125
Fallston, MD 21047-1899
Harford Technical High 410-638-3804 410-638-3884
200 Thomas Run Road Fax – 410-638-3820
Bel Air, MD 21015-1699
Havre de Grace High 410-939-6600 410-939-6603
700 Congress Avenue Fax – 410-939-6667
Havre de Grace MD 21078
Joppatowne High 410-612-1510 410-612-1510
555 Joppa Farm Road Fax - 410-612-1528
Joppa, MD 21085-4698
North Harford High 410-638-3650 410-638-3650
211 Pylesville Road Fax – 410-638-3632
Pylesville, MD 21132-1398
Patterson Mill Middle/High 410-638-4640 410-638-4633
85 Patterson Mill Road FAX- 410-638-4634
Bel Air, Maryland 21014
Note: If you wish to email your completed form, please contact the School Counseling office for the
email address of the current administrative support technician.
Rev. 03/2023