Az Ged Transcript Request Form PDF Details

The Az Ged Transcript Request Form is a document that can be used to request transcript information from the academic institution. There are four sections on this form: name, date of birth, current address and signature. The first two sections are self-explanatory while the last two sections require specific explanations. In order for an individual's transcript to be released, there must be written authorization from the student or parent/guardian with their signature in section 3b. This authorization is valid for one year from date of submission and will only allow release of grades and credits earned at that institution.

You will find more info relating to the az ged transcript request form by checking out the table we prepared.

QuestionAnswer
Form NameAz Ged Transcript Request Form
Form Length1 pages
Fillable?Yes
Fillable fields24
Avg. time to fill out5 min 3 sec
Other namesarizona ged verification, arizona ged copy, az ged transcript request, arizona department of education ged

Form Preview Example

ARIZONA GED® TRANSCRIPT REQUEST

There are two ways to request your Arizona GED® Transcript: (1) Mail or (2) Fax.

Once verified, your transcript will be mailed to you. We do not fax transcripts or scores.

For questions, call: (602) 258-2410 Press “2”

1. U.S. Mail Request Complete, sign, and mail the form below to: Arizona Department of Education - State GED Office 1535 West Jefferson Street, Bin #26

Phoenix, Arizona 85007

2. Fax Request

Complete, sign, and fax the form below to:

 

(602) 258-4977

 

 

 

 

SECTION I: STUDENT INFORMATION - Please Type or Print Clearly

Legal Last Name

Legal First Name

Legal Middle Name/Initial

 

 

 

Social Security Number

Date of Birth (Month/Day/Year)

►Name the Test Was Taken Under

 

/

/

 

 

 

 

 

 

Home Mailing Address

City, State, Zip Code

Contact Phone Number + Area Code

 

 

 

(

)

 

 

 

 

 

Location and Name of Testing Center

 

 

Date Test Was Completed

 

 

 

(Month/Year)

/

 

 

 

 

 

 

CERTIFICATION: “ I hereby certify that all information provided is completely true, and I authorize the release of my scores to the requestor.”

APPLICANT SIGNATURE (Required by Student Privacy Act)

►►►We must have your signature to process your request. Otherwise, your request will be returned.

Sign Here______________________________________________ Date

/

/

SECTION II: RECORDS TO BE SENT - Please Type or Print Clearly

We DO NOT fax transcripts or scores.

To: (Name of Agency, Educational Institution, or Individual)

Attention:

Mailing Address

City, State

Zip Code

I:\ADULTED\Ed Tech\GED Publications & Forms\GED Transcript Request NEW Form 101508.doc Last Updated 04-14-09

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