Regional Office of Education
Boone-Winnebago Counties
GED Testing Center
TRANSCRIPT REQUEST FORM
Please
print off this form, complete it, and mail it or drop it off with the $3.00 fee
to the address at the bottom of the form.
Last
Name
First Name Middle Name
Name tested
under if different than above
Street City State ZIP Code
Telephone
Number
Social Security Number Date of Birth
Location of
Testing
Year of Testing
Your
Signature REQUIRED
Date
Transcript should be mailed to:
______________________________________________
______________________________________________
______________________________________________
______________________________________________
NOTE: There is
a $3.00 fee (cashier’s check or money order) payable to the Regional Office of Education (please do not send cash in the mail) for the issuance
of an official GED transcript. Send fee and request form to:
Regional
Office of Education
Boone-Winnebago
Counties
ATTN:
GED transcript