Request Forms and Applications
When submitting a request form or application, please make check or money order payable to CSUSB or you may pay for fees over CashNet. Print a copy of your CashNet receipt, attach it to the form, then mail (or email) to the Office of the Registrar. Payment of fees can be paid through your myCoyote Student Center, through CashNet, a service provided by the Office of Student Financial Services. Questions regarding payments should be addressed with the Office of Student Financial Services.
Please submit your form requests and/or supporting documentation to the Office of the Registrar by either mail, email or the secured document upload link below.
CSUSB
Office of the Registrar
5000 University Parkway
San Bernardino, CA 92407
Some services require supporting documentation of a confidential nature such as marriage certificates, social security information, residency verifications, etc. To submit these additional confidential documents, you may use the following secured link:
Document UploadPlease be sure to select Attach Registrar Documents to avoid errors or delays in processing.
Forms
The forms listed below are in Portable Data Format (PDF). Fillable forms require the use of Adobe Acrobat.
Address ChangeApplication for Impacted MajorsApplication for Impacted Minors
Application for Undergraduate Cross Registration at UCRCertificate Programs
Cross Enrollment from a Community College / Univ. of Calif.Course Unit Verification Request
Cross Enrollment to Community Colleges / Univ. of Calif.CSU IntraSystem Concurrent Enrollment
CSU IntraSystem VisitorFERPA Release FormGrad Check Request Form for Inactive Students
Over 60 Program Student Fee WaiverReadmission From a Leave of AbsenceRefund Request - Office of Enrollment Management
Request to Prohibit Disclosure of Directory InformationSocial Security Number ChangeStudent Name Change
Registrar's Online Services
Diploma ServicesGrade ForgivenessTranscript Request
Enrollment Verification with Mode of InstructionConcurrent Enrollment for Equivalent Transfer Courses
| Request | Location |
|---|---|
| Change of Major / Minor | Under Academics or Other Academics from View Full Site |
| Course/Unit Overload | Use Permission Request tile or link from Academics or Other Academics from View Full Site |
| Graduation Requirement Check (Grad Check) | Under Academics or Other Academics from View Full Site |
| Petition to Add a Course after Census | Use Permission Request tile or link from Academics or Other Academics from View Full Site |
| Petition to Drop a Course after Census | Use Permission Request tile or link from Academics or Other Academics from View Full Site |
| Simultaneous Enrollment | Use Permission Request tile or link from Academics or Other Academics from View Full Site |