Ged Illinois Printable Form PDF Details

Are you looking for a Ged Illinois printable form? If so, you've come to the right place. Here, we provide a number of resources that can help you get started with your education. Whether you're looking for information on how to apply for your Ged or want to know what to expect once you've enrolled, we have everything you need right here. So don't wait any longer - start exploring our website today!

QuestionAnswer
Form NameGed Illinois Printable Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesillinois ged certificate, ged certificate illinois, state of illinois ged transcript request, illinois ged transcripts

Form Preview Example

COOK COUNTY GED® TESTING PROGRAM

REQUEST FORM FOR

GED CERTIFICATE & OFFICIAL TRANSCRIPT OF GED TESTS RESULTS

Mail Request To: ICCB-GED

P.O. Box 88725 Chicago, IL 60680-1725

Phone: (847) 328-9795

Instructions – Read Carefully

Use this form to request a GED Certificate or Official Transcript of GED Tests Results, only if you tested in Cook County, Illinois. You may be eligible to receive a Certificate and/or Official Transcript of GED Tests Results free of charge. DO NOT FILL OUT THIS FORM FOR A FREE CERTIFICATE OR TRANSCRIPT, please contact our office at

(847)328-9795 and press ‘0’ to speak to a Customer Service Representative. To request additional certificates or transcripts complete this form and submit it with a money order or cashier’s check payable to ICCB-GED in the correct amount ($3.00 for each transcript and $10.00 for each certificate) to the address above. Please allow 2-3 weeks for delivery. Fees paid are NON-REFUNDABLE. If you are ordering a transcript and a certificate, the certificate will be sent separately. Please PRINT or TYPE.

Mark the number of each item you are requesting.

[ X ] Official Transcript: ($3.00 each)

Today's Date: _________/________/________

[____] Certificate ($10.00 each)

Total Amount Enclosed:

3.00

$_____________

(If you paid a $35 or $50 application fee, your certificate will be sent to you at no additional charge. DO NOT send this form in unless you are requesting additional certificates.)

(Money order and cashier’s checks must be made payable to ICCB-GED. No personal checks, cash, or credit cards will be accepted. Fees are non-refundable and non-transferable)

 

 

PERSONAL INFORMATION

 

Name Used at Time of Test:

_______________________________________________________________________

(Note: Proof of name change will be required)

First Name

Middle Name or Initial

Last Name

Current Name:

_______________________________________________________________________

(If different from the name used at time of testing)

First Name

Middle Name or Initial

Last Name

Social Security Number or ID #:_____________________________

Date of Birth: _________/________/_________

Current Address:________________________________________________________ Apartment #:_______________

City:____________________________ State:________ Zip:___________ Phone Number:(____)_________________

Date of Test: (approximately) _________/________/_________ Test Center: _____________________________________

Print your name on the line below exactly the way you want it to appear on your GED Certificate.

* (If name differs from name on file, proof will be required. See the back of this form for more information)

__________________________________

____________________

__________________________________

First Name

Middle Name or Initial

Last Name

TRANSCRIPT RECIPIENT INFORMATION

Complete this section ONLY if this transcript is not being sent to you. (Colleges, Employers, Institutions etc.)

South Suburban College

 

Attention: Office of Admissions and Records

Name of College:__________________________________________

15800 S. State Street

South Holland

IL

60473

Address:___________________________________ City:___________________ State:______ Zip Code:___________

Name of Institution/Employer: ______________________________

Attention:_______________________________

Address:___________________________________ City:____________________ State:______ Zip Code:___________

My signature below shows that I authorize my GED scores to be released the above institution.

Signature _____________________________________________________ Date__________________

Please Keep a Photocopy for your Records!

Change or Correction of Social Security Number: If
Change of Name:

IMPORTANT INFORMATION ABOUT CHANGES/CORRECTIONS ON YOUR NAME, SOCIAL

SECURITY NUMBER, AND/OR DATE OF BIRTH

If your name has changed since the last time you took the GED Tests, and you would like your GED records to be updated, you must provide the following documents:

Photocopy of Marriage License, Divorce Decree or Court Order documents, and

Photocopy of valid State ID, Driver’s License, Consulate ID or Passport, and

Photocopy of Social Security Card.

your Social Security Number has been changed or

is incorrect on your GED records, and you would like your Social Security Number to be corrected, you must provide the following documents:

A Notarized letter explaining your SSN has changed from: Provide SSN used at time of test to: Provide current SSN

and would like your SSN to be updated. Letter MUST include candidate’s Current Name, Date of Birth

and current address, and/or

Print out of all your Social Security Number issued by the Social Security Administration, and

Photocopy of new Social Security Card, and

Photocopy of valid State ID or Driver’s License, Consulate ID or Passport.

Change or Correction of Date of Birth: If your Date of Birth is incorrect on you GED records, you must provide the following documents:

Photocopy of your Birth Certificate, and

Photocopy of valid State ID or Driver’s License, Consulate ID or Passport.

If you have any further questions, please contact the Cook County GED office at (847)328-9795

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Part # 1 in completing cook county ged transcript request

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