Columbia University Logo

Request for Disciplinary Certification


Please make sure to read this section before proceeding with the request.

Students (current and former):
This form may be used by current and former students to request an official disciplinary record certification. Requesters must complete this form and attach any additional specific document(s) (e.g., State Bar Certification Form, etc.) that may be required by a program, institution, or employer.

Requesters must use their Columbia University LionMail or Alumni e-mail account when prompted below. Alumni who do not have an active Columbia e-mail may create a free alumni account at: http://alumni.columbia.edu/email/. Please note that our office will only communicate with requesters via his/her Columbia issued e-mail address. Requests are typically completed within two business days from the date the request is submitted.


University Faculty and Staff:
This form may be used by University faculty and staff members to request disciplinary background checks. Requesters must complete this form and attach relevent FERPA release information from the student explicitly authorizing the release of his/her disciplinary record. A PDF of the FERPA release may be found here. For requests related to honors and/or awards, a FERPA release may not be required. Please indicate the type of award and any relevant information. Requests are typically completed within two business days from the date the request is submitted.


In cases where a University department requires multiple records, an Excel spreadsheet may be uploaded below. This excel spreadsheet must contain the following columns: First Name, Last Name, UNI (not e-mail handle). Completion times for multiple records requests will based on the number of records. These requests are typically completed within three to five business days from the date the request is submitted.

Please make sure you authenticate with your uni* when you are making the request.


Non-affiliated Parties:
Non-affiliated parties (e.g., employers, government agencies, parents, etc.) must contact our office directly at 212-854-6872 or opscssi@columbia.edu. Please note that our office will need to verify the authenticity of any FERPA releases as well as the requester's credentials. No requests via this form will be honored.
 

Request Type

This field is required.

Requester Information

Involved party 1

Additional Information

Type of Request(Required)
This field is required.
This field is required.
If this request is being completed by a current or former student, please complete the following. *If the results of this request will be sent directly to you, the requester, please do not waive your right. If the results of this request will be sent directly to a third party (academic program, institution, employer, professional organization, etc), please waive your right.(Required)
This field is required.

Document Upload

You may upload any forms that need to be completed, copies of signed releases, lists, etc. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission