Document Request Form

Please Read Carefully, as the Document Request Form has been changed

Each document costs $15.00. Document requests are processed twice a week:
• Forms received by Tuesday 3 PM are processed on Wednesday.
• Forms received by Thursday 3 PM are processed on Friday.

Document mail delivery to another institution or home address is available for $5.00 additional fee.

A 24 hour rush service is available for an additional fee of $10.00. This excludes weekends and holidays.

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Information Section

Please make sure your current address is updated on the Student Portal as it appears on your Transcript: Student Resources > Student Profile > Edit Contact Details.
Name Name * First Last
ICM Student ID *

m2xxxxxx or ABCD1234
Your Email (ICM or Personal) *

Confirmation Email will be sent to this email.
Your Phone Your Phone * - ### - ### ####
Your Photo ID (Student ID or Passport). *

Attach Files

Required for proof of identity (PDF, PNG or JPEG format)

If you do not wish to upload proof of identity, email reception@icmanitoba.ca from your ICM email for alternative identification methods, which may delay processing.
Requesting Documents

Each Document costs $15. For sending transcripts to the University of Manitoba (Current ICM Students and ICM Alumni), Please email reception@icmanitoba.ca
Which Document do you need? *

Which Document do you need? Transcript Letter of Enrollment Letter of Leave of Absence Completion Letter Withdrawal Letter Termination Letter Refusal Letter

For Current ICM Students and ICM Alumni, for sending Transcripts to the University of Manitoba, Please email reception@icmanitoba.ca
I understand that I require a minimum of $5,000 in my student account in order for the Leave of Absence letter of confirmation to be issued. *

I understand that I require a minimum of $5,000 in my student account in order for the Leave of Absence letter of confirmation to be issued. Yes, I understand that I require a minimum of $5,000 in my student account in order for the Leave of Absence letter of confirmation to be issued.
Do you require Rush Service? (Additional $10) *

Do you require Rush Service? (Additional $10) Yes No

24-hour rush service is available for an additional $10.00 (excluding holidays and weekends). Ensure payment via Flywire is made by Credit Card for a Rush Service.

Rush Service does not include weekends or holidays.
Do you need additional physical copies of any document that you have ordered? *

Do you need additional physical copies of any document that you have ordered? Yes No

For physical copies or Pickup only. NOT for digital copies (email)
Please select the which document? *

Any additional requests can be made using the additional information section.
How many copies?

How many copies? 1 additional copy (+$15) No additional copy (I changed my mind)

Any additional requests can be made using the additional information section.

However, Please submit another document request form for additional physical copies.
Additional Information:
Maximum of 250 characters allowed. Currently Entered: 0 characters.
Delivery of the Document

Courier services are available for an extra charge.
How would you like you Document? *

How would you like you Document? Email Delivery Canada Post (extra $5) FedEx (Email reception for Courier Estimates)

FedEx: Email reception@icmanitoba.ca with the subject “COURIER ESTIMATE” for a cost estimate before submitting the form with the Recipient's address and phone number.
Recipient Email *

Where would you like the document emailed?
Is the mail or email address you provided for an Institution? *

Is the mail or email address you provided for an Institution? Yes No

For another university or a college?

For Current ICM Students and ICM Alumni, for sending Transcripts to the University of Manitoba, Please email reception@icmanitoba.ca
For all institution addresses include a reference, application or student number that was provided to you by that institution.
For couriers, an estimate must be calculated first.

We will respond with a cost estimate.Once you have received the Courier Estimate, please include it below. * $ Dollars . Cents
In the email, please indicate if the address is residential or commercial.

House/Apt number, Street Name, City, Province, and Postal Code, a local phone number.

For all institution addresses include a reference, application or student number that was provided to you by that institution.
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Recipient's Phone number Recipient's Phone number - ### - ### ####
How would you like your second document? *

How would you like your second document? Canada Post (Extra $5) Fedex (Email reception for Courier Estimates)

FedEx: Email reception@icmanitoba.ca with the subject “COURIER ESTIMATE” for a cost estimate before submitting the form with the Recipient's address and phone number.
For FedEx, an estimate must be calculated first.

We will respond with a cost estimate.Once you have received the Courier Estimate, please include it below. * $ Dollars . Cents
In the email, please indicate if the address is residential or commercial.

House/Apt number, Street Name, City, Province, and Postal Code, a local phone number.

For all institution addresses include a reference, application or student number that was provided to you by that institution.
Address for Second Document Address for Second Document *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Is the second mail address you provided for an Institution? *

Is the second mail address you provided for an Institution? Yes No

For another university or a college?

For Current ICM Students and ICM Alumni, for sending Transcripts to the University of Manitoba, Please email reception@icmanitoba.ca
For all institution addresses include a reference, application or student number that was provided to you by that institution (second address)
Recipient's Phone number (second address) Recipient's Phone number (second address) - ### - ### ####
Payment Method

All payments must be through ICM's FlyWire Portal using your preferred payment method.

For Rush Service, if you pay via FLYWIRE, please make sure to pay via "Credit Card"

Need Help? How to make Payments through Flywire.
Please upload the Payment Receipt *

Attach Files
Verification

When submitting the form, wait for the “We have received your Form!” message before closing the browser/tab. It can take up to 2 minutes to receive the message.
Please confirm that you have entered correct Information including the amount indicated on your Proof of Payment matches the amount you have paid. *

Please confirm that you have entered correct Information including the amount indicated on your Proof of Payment matches the amount you have paid. Yes No
Please confirm on how much have you paid? * $ Dollars . Cents
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
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Document Request Form

Document Request Form

C$`0`

Total

Information Section

Requesting Documents

Delivery of the Document

Payment Method

Verification

C$`0`

Total

Document Request Form

Document Request Form

C$0

Total

Information Section

Requesting Documents

Delivery of the Document

Payment Method

Verification

C$0

Total

C$`0`

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