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Attachment H

This document is a request form for a duplicate copy of a New York State high school equivalency diploma and/or transcript of GED test scores. It requests information to identify the candidate such as their name, date of birth, social security number, testing center, and year tested. It specifies a $10 fee for a diploma and transcript or $4 for just a transcript. The completed form and certified check or money order for the applicable fee should be mailed to the given address and will take 6-8 weeks to process.

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Aisha Muhammad Abdul
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77 views1 page

Attachment H

This document is a request form for a duplicate copy of a New York State high school equivalency diploma and/or transcript of GED test scores. It requests information to identify the candidate such as their name, date of birth, social security number, testing center, and year tested. It specifies a $10 fee for a diploma and transcript or $4 for just a transcript. The completed form and certified check or money order for the applicable fee should be mailed to the given address and will take 6-8 weeks to process.

Uploaded by

Aisha Muhammad Abdul
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ATTACHMENT H

CERTIFIED CHECK HERE


STAPLE MONEY ORDER
The University of the State of New York
THE STATE EDUCATION DEPARTMENT
GED Testing Office
PLEASE P.O. Box 7348, Albany, New York 12224-0348
(518) 474-5906

OR REQUEST FOR DUPLICATE COPY OF NEW YORK


STATE HIGH SCHOOL EQUIVALENCY DIPLOMA
AND/OR TRANSCRIPT OF GED TEST SCORES
Please provide the following information to assist us in locating your test records.
Your signature is required in the space provided.
IF YOU ARE REQUESTING INFORMATION ON BEHALF OF THE CANDIDATE,
PLEASE BE ADVISED THAT THE CANDIDATE MUST ALSO SIGN THE RELEASE
CFLN:
PLEASE PRINT CLEARLY IN INK

Diploma & Transcript ($10.00) Transcript Only ($4.00)


Please check: X
Candidate Information:
Last Name at Time of Testing First Name MI Date of Birth
Month Day Year

Social Security Number Center/Place Where You Tested Year Tested

Current Address–Street/PO Box Apt #

City State Zip Code

Daytime Weekday Contact Phone REQUIRED CANDIDATE SIGNATURE (IF APPLICABLE, I GIVE PERMISSION TO THE INDIVIDUAL
Number BELOW TO OBTAIN INFORMATION ON MY BEHALF.)
Date
( )
SIGNATURE OF PERSON REQUESTING VERIFICATION, IF OTHER THAN THE CANDIDATE, IS
ALSO REQUIRED:
Please Mail Document to: Date

Name of Institution (If Applicable)

The College of Westchester


Last Name First Name Middle Initial

Street Apartment No.


P.O. Box 710
City State Zip Code Phone Number
White Plains New York 10602-9916 ( )
NOTE: A non-refundable processing fee of $10.00 (diploma with transcript) and $4.00 (transcript only) is required for each
document requested. The required fee, made payable to NYSED, must be in the form of a certified check or money order for
each request. NO CASH or PERSONAL CHECKS will be accepted. The diploma and/or transcript will not be sent until the
required fee is submitted to this office.
Please send your request to the above address and allow 6–8 weeks for processing.

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