Registration Forms

Below are links to commonly requested forms. After printing out the desired form, please complete in its entirety, obtain all appropriate signatures and return to the Registrar’s Office – Goess Center.

Forms may also be faxed to 252-321-4209 or emailed to registrar@my.pittcc.edu from a PCC email address.

Important! Placement test scores are not listed on Transcripts. A separate form is needed to see these scores. Please see the list below.

Request for Change of Name and/or Address

Request for OW After W Grade Issued

Official Transcript Request Form

Official Withdrawal Appeal Form

Replacement Diploma Order Form
NOTE: The Diploma Replacement Request link is temporarily unavailable. We apologize for any inconvenience this may cause and appreciate your patience. If you need immediate assistance or have questions about requesting a replacement diploma, please contact the Registrar’s Office.

FERPA Release Form

Placement Scores Request

Application for Grade Forgiveness Form