Florida Form 4191A PDF Details

Designed to streamline the retrieval of student transcripts older than seven years, the Florida 4191A form serves as a vital tool for former students of The School Board of Broward County. Explicitly intended for instances requiring proof of academic achievements, including applications for college, employment, or specific legal needs, this form accommodates various requests by offering both official and certified copies of transcripts. The official transcripts, suitable for college or employment purposes, come with a fee of $3.00 each, whereas certified copies, necessary for immigration or subpoena proceedings, are priced at $7.00 each. To ensure a smooth transaction, the form stipulates that payments be made via cash or money order directly to The School Board of Broward County, and it explicitly notes that personal checks are not accepted. Moreover, this document outlines the importance of completing the form with precision, emphasizing that any requests submitted incompletely or incorrectly will be returned to the sender without action. The necessity of attaching a copy of identification with the form further underscores the School Board’s adherence to security and verification protocols. A notable aspect of the form is its exclusion of GED requests, directing individuals with such needs to pursue a different avenue. Ultimately, the form is an intersection of administrative procedure and user convenience, thoughtfully designed to facilitate the retrieval of long-lost academic records while maintaining strict compliance with legal and institutional guidelines. By enabling former students to reclaim a piece of their educational history, Form 4191A reinforces the ongoing value of academic achievements and the continual need for their verification in various professional and personal life aspects.

QuestionAnswer
Form NameFlorida Form 4191A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names7720 w oakland park blvd, broward county transcripts, broward county records retention, west broward high school transcripts

Form Preview Example

The School Board of Broward County

Records Retention

Transcript Request

7720 W. Oakland Park Blvd., 3rd Floor

Sunrise, FL 33351

Instructions: This form is for students requesting transcripts from 7 years ago and prior. If you attended within the last 7 years, contact your last school. Mail this form and copy of identification to Records Retention, to address shown above. Transcript fee for each copy is $3.00 for official (College, Employment, SS, etc.) OR $7.00 for certified (Immigration, Subpoenas, etc.), cash or money order only made to: The School Board of Broward County. No personal checks accepted. All request received incomplete or

unacceptable will be returned immediately.

Check one:

 

OFFICIAL ___ CERTIFIED___

*This form is not for GED request.

*Student Name _______________________________________ *DOB ____________________

Married/Other Name ___________________________________ SSN ____________________

*Home Phone ______________________ Work _______________ Cell ____________________

E-Mail Address _________________________________________ *Number of Copies: _______

*Last public BROWARD County school(K-Votech) ______________________________________

*Last year in school __________ Did you graduate? Yes OR No If no, last grade attended______

Program Title (if applicable)__________________Attendance Dates _________________________

Did you complete the tech program? Yes or No, $3 Elem___$3 Middle___$3 High___$3 Tech__

Mail to:

Name ________________________________________________________________________

Address_______________________________________________________________________

______________________________________________________________________________

City _________________________________State___________ Zip _______________________

Mail to:

Name ________________________________________________________________________

Address_______________________________________________________________________

______________________________________________________________________________

City _________________________________State___________ Zip _______________________

Authorization Statement and Authorized Signature

I certify, under penalty of perjury, pursuant to Florida Statute Section 92.525, that I am the former student requesting my records. I hereby authorize the release of records or information as instructed above.

*Student INK Signature __________________________________________________________

Date__________________

ATTACH PHOTO ID BEFORE MAILING

*REQUIRED

Form 4191A

REV 08/19

Records Retention

How to Edit Florida Form 4191A Online for Free

We were designing our PDF editor with the prospect of allowing it to be as fast make use of as possible. Therefore the entire process of filling out the broward school transcripts will be smooth follow these actions:

Step 1: To start out, hit the orange button "Get Form Now".

Step 2: Once you get into the broward school transcripts editing page, you will find lots of the actions you may take about your document in the upper menu.

If you want to fill out the form, provide the information the application will require you to for each of the following sections:

records retention broward schools empty fields to fill out

Complete the Mail to Name Address City State, Authorization Statement and, I certify under penalty of perjury, requesting my records I hereby, Student INK Signature, Date, ATTACH PHOTO ID BEFORE MAILING, REQUIRED, and Form A REV Records Retention area with the information asked by the application.

Filling in records retention broward schools part 2

Step 3: Select the "Done" button. So now, you can export the PDF file - upload it to your device or send it by using electronic mail.

Step 4: To prevent yourself from any challenges later on, try to make minimally several duplicates of the document.

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