Luther Rice Student Portal

Letter of Certification

There is a $5.00 fee for a letter of certification request.

If you would like a hard copy of this form, click here.

NOTE: There is a three day (minimum) turnaround for letter of certification requests, but during peak seasons, registration and graduation, letter of certification requests may take a minimum of 5-10 business days.

Student Information

Student Number or SS Number:

First Name:

Last Name:

Middle Name:

Maiden Name:

Address:

City/Province:

State:

Zip/Postal Code:

Phone:

E-Mail:

Request Mailed To

Mail to Student (at address listed above)

Address:

City/Province:

State:

Zip/Postal Code:

Payment Information

Card Number:

CVV:

Exp. Date:

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