Information requests and forms

All forms are available in the Office of Records and Registration 

Information Requests and Forms
Name and Address Change – Online form
Attestation – Online form
Certifying M.D. Degree Completion
Criminal Background Check Guidelines and Online form
Diploma Re-Order Request – Online form
Holds
Enrollment Verification/Letter of Good Standing – Online form
Grades and Evaluations
Apply for In-State Tuition Classification
Transcript Request – Official
Fourth Year Registration Adjustments
Independent Study Elective Form
Technical Standards Online Form

Name and Address Changes


Name Changes

To change your name, complete a Name Change request and attach a copy of your Driver's License or State ID card, a copy of your marriage certificate or court document authorizing the name change. You need your AccessID and password to submit the form.

To reset your password or retrieve your AccessID, click here or contact the C&IT Help Desk at (313) 577-HELP (4357). For additional assistance, contact us at (313) 577-1470.

Address Changes

It is very important that you notify the University when you change your address.  Change your address through Academica.  You need your WSU AccessID and password to enter Academica.

If you don't know your WSU AccessID, you can look it up by searching for your last name in WSU's Online Directory at http://networks.wayne.edu/onlinedirectory.

Once you have your AccessID and password, follow these instructions to change your address:

  1. Login into Academica
  2. Go to the "Student Resources" menu, and select "View Personal Info" under the "Student Records" menu.
  3. Select "Update Address(es) and Phone(s).
  4. Select the current Mailing address you are changing or updating.
  5. You need to end the current Mailing address.  Enter the date your new address is going into effect in the "Until this Date" field.  Then, hit the "Submit" button.
  6. Go back to "Update Address(es) and Phone(s).  Select the "Mailing" address option from the "Type of Address to Insert" dropdown.  Then, hit the "Submit" button.
  7. Enter the date the new address starts in the "Valid From this Date" field.  Leave the "Until this Date" field blank.  Fill in the rest of the address fields, and then hit "Submit".

You can verify your entries by selecting "View Address(es) and Phone(s)" again.

If you have any questions, you can email records@med.wayne.edu from your AccessID or call (313) 577-1470.

Alternatively, you can access the Address and/or Phone Number Change request directly (AccessID and password required).

Attestation

Request: Attestation Form
Send Method: Online form
Contact: Office of Records and Registration – records@med.wayne.edu
Please remember to inform us promptly of all address and/or phone number changes. We mail you critical, time-sensitive material and it is very important that you receive information in a timely fashion

Certifying M.D. Degree Completion

Request: Certifying M.D. Degree Completion
Send Method: In-person
Contact: Office of Records and Registration – records@med.wayne.edu
Charge: No charge
Processing: Please allow five working days

Criminal Background Check Guidelines and Form

Request: Criminal Background Check Form
Send Method: Online form
Contact: Office of Records and Registration – records@med.wayne.edu
Policy Guidelines

Diploma Re-Order Request

Request: Duplicate Diploma Request Form
Send Method: Online form
Contact: Office of Records and Registration – records@med.wayne.edu

Enrollment Verification/Letter of Good Standing

Request: Enrollment Verification Form or Letter of Good Standing Form
Send Method: Online form
Contact: Office of Records and Registration – records@med.wayne.edu
Charge: No charge
Processing: Please allow five working days

If you need to verify enrollment for your student loans or housing needs, you can print your own enrollment verification certificate.

  1. Simply follow the instructions below.
  2. Log into Academica.
  3. Go to Student Resources.
  4. Click on "Registration," then "Enrollment Verification." You will be taken to the National Student Clearinghouse site in a new browser window. 
  5. You can select current enrollment, or your entire enrollment history. Once you make your choice, click on "Obtain an enrollment certificate."  

Grades and Evaluations

All grades and evaluations are collected for the student record and transcript purposes
Contact: Office of Records and Registration

Guest Student Application

Request: Guest Student Application Form
Contact: Office of Records and Registration – records@med.wayne.edu

Holds

You can determine if there are any holds on your account by going to:

Academica > WSU Resources > Student Resources > Student Records  > Holds
You will not be able to register or obtain an official transcript if there is a hold on your account.

Resident/Residence Classification

Request: Resident Status Change Application (PDF)
Return Method: In-person, mail, fax, email
Contact: Office of Records and Registration – records@med.wayne.edu
A non-resident student may apply for resident status if he/she believes that circumstances warrant. Resident status, if granted, would allow the student to enroll in future terms at resident tuition rates

Official Transcript Request

Request:  Official Transcript 

Contact:  https://wayne.edu/registrar/records/transcript-requests