Request Proof of Enrollment

BYU Independent Study proof of enrollment letters state the student's name, their classes, dates of enrollment, and number of credit hours. To request a proof of enrollment, fill out the form below. If your letter needs more information please contact our office at 1-800-914-8931.

This is NOT a transcript report or a receipt. To request a transcript, please visit our Order Transcripts page.

STUDENT INFORMATION (please read and complete each blank)
1	Student's Name:
2	Course Access Code: (only one needed)
3	Daytime Telephone Number:	(e.g. 555-123-4567 )
4	E-mail:
5	Purpose of Request:
RECEIVER INFORMATION
6	Receiver's Name:
7	Mailing Address:
8	City, State:	, AK AL AR AZ CA CO CT DE DC FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NY NV OH OK OR PA RI SC SD TN TX UT VA VT WA WV WI WY
9	Zip:
10	I give permission to the BYU Independent Study office to release my current course information (name, credit hours, expiration and enrollment dates) to the receiver stated above. The proof of enrollment form will not be processed without this permission.

If you have difficulties with this page, please print, complete, and mail the Request Proof of Enrollment Form (Requires Adobe Reader).